Sarah Guy, BACP, NCPS

Sarah Guy is a counsellor working in the United Kingdom with 12 years of professional experience. She has accumulated over 4,500 client hours and supports people through stress, anxiety, LGBT concerns, trauma and abuse, grief and major life changes. Sarah believes clients are the experts on their own lives and aims to help them find the strengths they already have.

She uses an integrative approach, selecting methods to suit each person rather than applying a single technique. That flexible style means sessions are shaped around what the client needs at the time. Sarah describes herself as warm, down to earth and empathic, keeping the work practical and focused on small, achievable steps.

Her background includes work in hospice care and a cancer centre, which informs how she supports people facing serious illness, loss and end-of-life concerns. She also has experience with relationship-related issues such as attachment, blended family tensions, communication problems and separation.

Sarah runs a private practice from home and offers clinical supervision to other counsellors. She sometimes works with a cockapoo who may appear briefly on camera during online sessions. She aims to create a supportive atmosphere where people feel able to talk through difficult feelings and start to move forward.

Sessions are practical and collaborative, focusing on coping strategies, making sense of painful experiences and finding ways to rebuild routine and meaning after change. Sarah will work alongside each person to identify goals and plan the steps toward them.

Approaches you might explore online

Sarah describes her work as integrative, meaning she draws on evidence-based therapeutic techniques and tailors them to each person's needs. One common strand is grief-focused work, which helps people make sense of loss, manage strong emotions, and develop routines that support day-to-day functioning after bereavement. This approach suits those coping with mourning, hospice or end-of-life concerns.

Another area she frequently uses is trauma-informed practice, which aims to help people feel safer with memories and painful experiences. That can involve paced ways of talking about difficult events, building coping strategies and strengthening grounding skills to reduce dissociation and overwhelm.

Choosing the right approach is a shared process. The therapist will talk with the client about their goals, experiences and preferences, then try methods that fit. If something does not feel right, adjustments are made together until a good fit is found.

Online therapy here uses video calls, phone sessions, live chat and text-based messaging to offer practical flexibility. Video calls are useful for face-to-face conversation and non-verbal cues. Phone sessions can work when a quieter environment or lower bandwidth is needed. Live chat and messaging suit brief check-ins, written reflection and people who prefer typing to speaking. These formats help make counselling easier to fit around work, caregiving and treatment schedules.