Sam Agnew, BACP

Sam Agnew is a counsellor who uses a blend of approaches to help people feel steadier and more able to cope. She draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy and attachment work to create practical ways forward. Sam speaks English and works with people in the United Kingdom and internationally. She holds BACP accreditation and has nine years of clinical experience.

Sam aims to make sessions straightforward and focused. She helps people manage stress, anxiety, addictions, trauma and abuse, and low mood. She also supports those dealing with grief, career strain, relationship and intimacy concerns, and self-esteem struggles. Conversations are aimed at clear goals and small, doable steps.

Her background includes work with neurodiversity and developmental concerns such as autism and attention differences, as well as more complex presentations like bipolar disorder and co-morbidity. Sam has experience with caregiving stress, chronic illness and body-image difficulties. She also addresses issues linked to adoption and abandonment.

In sessions Sam balances emotional exploration with practical tools. She uses ACT to help people clarify values and commit to meaningful action. She applies CBT techniques to spot unhelpful thinking and try alternative responses. Attachment-informed work looks at connection patterns and how they shape relationships.

Sam describes therapy as a collaborative process. She listens first, then tailors planning to each person's needs. Her aim is to help people build coping skills, feel less overwhelmed, and move toward more fulfilling daily life.

How Sam's approaches translate to online therapy

Acceptance and Commitment Therapy helps people identify what matters most and take action in small steps that match their values. It is useful for anxiety, stress, avoidance and making life changes. Cognitive Behavioral Therapy focuses on spotting unhelpful thinking and testing different responses through practical exercises, which can help with mood, sleep, addiction urges and low self-esteem.

Choosing the right approach is a shared process. Sam will listen to a person's goals and try methods that fit their needs and preferences. Over time she adjusts the plan based on what works, combining talking, exercises and skills practice in a collaborative way.

Online therapy offers flexible ways to connect. Video calls allow face-to-face conversation and visual cues. Phone sessions suit people who prefer not to be on camera or who have limited bandwidth. Live chat and text messaging provide quick check-ins, shorter check-ins between sessions or ongoing written reflections. These options make it easier to fit therapy around work, caregiving or travel while keeping the focus on progress and practical tools.