Sarah Hamilton

Sarah Hamilton

Registered Member MBACP (Accredited)

Contact information

Phone number

Contact Sarah

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Therapist - Hay-on-Wye

Hay-on-Wye HR3
Sessions from £65.00


  • Flexible hours available


During the current situation with COVID-19, I am conducting all sessions by secure online video link.

I have extensive experience in providing safe, effective video counselling.

I work Monday, Tuesday, Wednesday and Thursday.

If you are interested to find out more, just email me at, or call 07580 482751 for a no-obligation chat.

About me and my therapy practice


I am a fully accredited BACP psychotherapist and counsellor. I provide a safe, supportive space for adults of all ages, where you will not be judged. I see clients at my clinic in Hay-on-Wye, and also through online video sessions. I help people:

  • Learn who they are and find the courage to live richly and fully
  • Transform anger and low self-esteem
  • Find relief from anxiety and depression
  • Overcome trauma and find peace and healing
  • Navigate bereavement, divorce, and other difficult life-events

I work short-term or long-term, as needed, to help you achieve the changes you want to see. Whatever we talk about, you can expect our conversations to cover the following stages:

  1. Assessing and Exploring: We look together at what you’re facing, how it’s affecting different areas of your life, and what you’d like to be different. We’ll get curious about your life-patterns, your coping strategies, and habits of thought – so we can start to make sense of your experience.
  2. Mindful Observation and ‘Life Testing’: This is when changes start to happen. We take time to observe, reflect, and deepen our understanding, at whatever pace is right for you. We’ll identify and engage your existing resources, challenge old habits where necessary, and consider new tools for problem-solving where necessary. And as you begin to ‘test out’ new ways of being, we’ll notice carefully how things affect you on a practical, physical and emotional level.
  3. Consolidation and Ending: We fine-tune and strengthen your new sense of self, and make sure it’s comfortably embedded in your daily life. We’ll review the changes you’ve achieved, look at how you'll cope with any future difficulties, and make sure you leave feeling stable and confident.

Practice description

During the current situation with COVID-19, I am conducting all sessions by secure online video link.

Online counselling by secure video link has been part of my therapy practice for many years. Using video to talk about very personal issues can feel a little strange to begin with. However, most people find themselves adapting to it surprisingly quickly and comfortably.

Studies have shown that online therapy can be equally as helpful as face-to-face therapy. It’s ideal if you’re housebound or living in a remote area, or if you’re trying to schedule around childcare or travelling for work. And in the current situation with COVID-19, it’s the only safe and effective way to access professional psychological help.

Modern stable, secure video platforms such as Zoom provide an excellent alternative to face-to-face sessions. I work from either my Hay-on-Wye clinic or my home office, a dedicated private space. It’s important that you also find a safe and private place from which to speak with me. Using as large a screen as possible for your video sessions will help them feel more natural and comfortable.

Call me on 07580 482751, or email me, to book an initial session.

My first session

Talking to a psychotherapist or counsellor isn’t always easy. In fact, opening up to someone you’ve never met before, sharing your most personal problems, can often feel very daunting.

Our first session is therefore a chance for you to see what it's like to sit in a room with me, and see how we might work together.

I will generally start by asking you what has brought you to this point, where you wanted to talk to a therapist. It's an invitation for you to talk about what you are experiencing, your emotions, and any thoughts you may have about what has led you to this point. I will often ask questions to make sure I understand what you're saying, or to find out more detail about your situation.

I am also interested in who you are, as a whole person. That's because our behaviours and emotions are always a combination of both the circumstances we're facing, and also what we 'bring' to the situation. So I may ask you about your family background and significant past experiences, your resources, your broader living situation, and your support network. 

For counselling to have the best chance of success, the most important thing is that you feel comfortable with your therapist. So at the end of our first session we will take some extra time to explore what it's been like for you, and whether I can adjust anything to make the whole process feel like a better 'fit' for you. And if you feel good about continuing our work together, then we'll look at the practical side of scheduling more sessions.

What I can help with

Abuse, Anger management, Anxiety, Autism spectrum, Bereavement, Chronic fatigue syndrome / ME, Cultural issues, Depression, Health related issues, Identity issues, Loss, Post-traumatic stress, Redundancy, Relationships, Self esteem, Self-harm, Spirituality, Stress, Trauma, Work related issues

Types of therapy

Cognitive, Existential, Humanistic, Integrative, Person centred, Psychodynamic, Relational

Clients I work with

Adults, EAP, Older adults, Trainee

How I deliver therapy

Long-term face-to-face work, Online counselling, Short-term face-to-face work, Time-limited