MindScreening
Photo of Sarah Howell

Sarah Howell

Counselling for stress, anxiety and relationships

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  • Solution-focused work
  • Client-centred approach
  • Cognitive behavioural methods

About Sarah

Sarah Howell helps people manage stress, anxiety, relationship difficulties, trauma and abuse, low self-esteem, depression and addiction using solution-focused, client-centred and cognitive behavioural approaches. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has five years' experience working with charities and in private practice.

She has worked with a wide range of concerns, including grief, intimacy-related issues, eating and sleeping problems, anger, career matters and compassion fatigue. Sessions are presented as a partnership where practical steps and personal strengths are discussed. Sarah uses short-term goal work alongside reflective talking therapy depending on what a person needs.

Her background includes counselling people of different ages and life situations in both charity and private settings. That mix of experience informs an approach that balances careful listening with concrete strategies from cognitive behavioural work and solution-focused planning.

In the counselling room she draws on attachment ideas to look at how relationships influence wellbeing. She also uses client-centred ways of working to keep the focus on the person's priorities and pace. These elements are combined to help people identify small changes that make day-to-day life easier.

Sessions are offered in English. Before booking readers should confirm the current session formats with the service, as arrangements are organised through the site's matching and scheduling process.

How her approaches are used in online counselling

Sarah uses client-centred work to keep sessions focused on what matters to the person, offering space to talk and decide priorities. Client-centred methods help when someone wants to explore feelings, values or relationship patterns.

She also draws on cognitive behavioural therapy, which looks at the links between thoughts, feelings and actions and uses practical exercises to reduce worry, low mood or sleep problems. Solution-focused techniques are used alongside CBT to set short-term goals and identify small, achievable steps forward.

Finding the right mix of approaches is part of the therapy process. She will work with each person to agree which methods suit their needs, goals and preferences, and review progress together over time.

The original biography lists video, email and instant messenger as session options, so check the current formats available when you book. Online sessions can make it easier to fit counselling into a busy day, allow shorter check-ins when needed, and remove travel time, but confirm practical details and chosen format before the first appointment.

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Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.

Topics Sarah lists

Ways of working

Questions about Sarah

Does she work with anxiety?
Yes. Anxiety is listed among her main concerns and she uses cognitive behavioural tools alongside solution-focused work to address it.
What kind of counselling does she offer?
She practises solution-focused, client-centred and cognitive behavioural approaches, drawing on attachment ideas when exploring relationships.
How much experience does she have?
She has five years' experience working with charities and in private practice.
Is she registered with a professional body in the UK?
She is listed with the British Association for Counselling and Psychotherapy (BACP).
Can I have sessions in other languages?
Sessions are offered in English.
What session formats are available?
The original biography notes video, email and instant messenger as formats; confirm current session options before booking.
How much do sessions cost?
Cost varies with location and sessions use a subscription that can be cancelled at any time.
How do I get started with her counselling?
Select the Talk to a counsellor online button, complete a short matching questionnaire and schedule a first session.

This page is based on Sarah's public BetterHelp listing and is not written by Sarah. It is not a recommendation. If anything here is wrong, tell us and we will correct it.

Online sessions through BetterHelp. We will earn a commission if you sign up. Talk to a counsellor online