Sarah Semper

• Stress and anxiety
• CBT and mindfulness
• Arts and imagery

About Sarah

Sarah Semper works on stress, anxiety, low mood, relationship and intimacy difficulties, self-esteem issues, parenting concerns and coping with life changes. She uses talking therapy alongside cognitive behavioural techniques and draws on an arts psychotherapy background to bring imagery and creative exercises into sessions. Sarah is registered with the British Association for Counselling and Psychotherapy (BACP) and has 14 years of experience.

She offers a calm, direct way of working. Sessions involve practical conversation, reflecting on feelings and behaviour, and short experiments or exercises to try between meetings. Creative methods such as art or imagery may be used when helpful to find new ways of understanding a problem.

Her approach is influenced by attachment-based ideas, which look at how early relationships affect current patterns. She also uses client-centred techniques that focus on what matters most to the individual, and cognitive behavioural methods to identify unhelpful thinking and behaviour. Existential and mindfulness ideas are woven in when they suit the person’s aims.

Sarah has worked with a wide range of concerns over 14 years, including trauma and abuse, grief, intimacy-related issues, adoption and foster care matters, autism and attachment issues, and chronic health challenges. She also supports people dealing with body image, codependency and communication problems.

Sessions are conducted in English and she accepts international clients. Costs vary by location and are provided through a subscription model that can be cancelled at any time.

How her approaches can work in online counselling

Attachment-based work looks at patterns in close relationships and how early experiences affect current feelings and reactions; it is often useful for worries about connection, abandonment and trust. Client-centred therapy focuses on the client’s priorities and uses listening and reflection to help people clarify what matters to them and make choices. Cognitive behavioural therapy (CBT) helps identify unhelpful thoughts and behaviours and supports practical changes through small experiments and skills practice.

Choosing the right approach is part of the work. The counsellor will discuss goals, preferences and what feels most useful, then agree a way of working together. That process is collaborative and can change over time as needs change.

Confirm the available session formats before you book, as the biography does not specify which formats are offered. Online counselling can make it easier to fit sessions around work, caring duties or travel, and it can reduce time spent on commuting. It can also allow a shorter check-in if needed, and some people find phone or video sessions easier for concentration or energy management. Registered or accredited professionals and therapists commonly use online work to increase practical options for clients.

Topics Sarah lists

• Stress and anxiety
• Relationship issues
• Self-esteem
• Depression
• Coping with life changes
• LGBT
• Family conflicts
• Trauma and abuse
• Grief
• Intimacy-related issues
• Parenting issues
• Abandonment
• Adoption and foster care
• Aging and geriatric issues
• Attachment issues
• Autism and Asperger Syndrome
• BDSM, kink, and alternative sex culture
• Blended family issues
• Body image
• Caregiver issues and stress
• Chronic pain, illness, and disability
• Codependency
• Commitment issues
• Communication problems
• Control issues
• Dissociation
• Divorce and separation
• Domestic violence
• Eating and food-related issues
• Emptiness
• Family of origin issues
• Family problems
• Fatherhood issues
• Fertility issues
• First responder issues
• Forgiveness
• Guilt and shame
• Hoarding
• Immigration issues
• Impulsivity
• Infidelity
• Isolation and loneliness
• Jealousy
• Life purpose
• Men's issues
• Midlife crisis
• Veteran and armed forces issues
• Money and financial issues
• Mood disorders
• Multicultural concerns
• Narcissism
• Panic disorder and panic attacks
• Paranoia
• Polyamory and non-monogamous relationships
• Postpartum depression
• Pregnancy and childbirth
• Prejudice and discrimination
• Self-harm
• Self-love
• Sexual assault and abuse
• Sexuality
• Social anxiety and phobia
• Women's issues
• Workplace issues
• Young adult issues

Ways of working

• Attachment-Based Therapy
• Client-Centred Therapy
• Cognitive Behavioural Therapy (CBT)
• Existential Therapy
• Mindfulness Therapy
• Solution-Focused Therapy
• Somatic Therapy
• Trauma-Focused Therapy
• Internal Family Systems
• Systemic Therapy

Questions about Sarah

Does she work with anxiety?

Yes. She helps people manage stress and anxiety using talking therapy and cognitive behaviour techniques.

What kind of counselling does she offer?

She blends client-centred work with cognitive behavioural approaches, attachment-based ideas, existential thinking and mindfulness; creative exercises may be added from her arts psychotherapy background.

How much experience does she have?

She has 14 years of clinical experience supporting a wide range of concerns.

Is she registered with a professional body in the UK?

Yes. She is registered with the British Association for Counselling and Psychotherapy (BACP).

Can I have sessions in English if I live abroad?

Sessions are offered in English and she accepts international clients.

What formats are available for sessions?

Please confirm the current session options before booking, as the biography does not list specific formats.

How much do sessions cost?

Cost varies with location; sessions use a subscription that can be cancelled at any time.

How do I start working with her?

Use the Talk to a counsellor online button, complete a short matching questionnaire, and schedule a first session.