About Sarah
Sarah Gensmantel is a counsellor and psychotherapist who describes her approach as person-centred and integrative. She draws on talking therapy alongside optional practices like breathwork, meditation, mindfulness and yoga when these suit a person's needs. Sarah aims to create a calm, non-judgemental space so people can talk about what feels hard and take practical steps forward.
She has four years of clinical experience and a background in education where she specialised in pastoral care and safeguarding.
How Sarah works
That experience shaped the way she responds to people who feel overwhelmed or distressed. It also informed her focus on trauma, including childhood trauma, though she welcomes anyone needing help at a difficult time. Sessions combine careful listening with straightforward tools.
Sarah pays attention to both what is said and what might be harder to put into words. Together with the person she will explore their experience, build insight and agree on coping strategies to use day to day. Her areas of focus include anxiety, depression, stress, grief, addictions, self-esteem and relationship and intimacy-related issues.
She also works with concerns such as ADHD, compassion fatigue, eating and sleeping problems, and career difficulties. Sarah is registered with the British Association for Counselling and Psychotherapy, BACP. She offers therapy online from the United Kingdom and conducts sessions in English.
Practical arrangements are discussed at the first appointments so people find a comfortable pace and format for their work.
Sarah lists 8 ways of working on the entry:
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Cancer
- Career difficulties
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | BACP |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online options
Attachment-based work focuses on how early relationships shape current feelings and responses. It helps people who struggle with trust, abandonment or close relationships by tracing patterns and building safer ways of relating.Client-centred therapy places the person at the heart of each session. The counsellor listens with warmth and without judgement, helping the person feel heard and gradually find their own solutions and coping strategies.
Cognitive Behavioural Therapy, or CBT, looks at how thoughts, feelings and behaviours connect. It offers practical exercises and tools to reduce anxiety, manage low mood and change unhelpful patterns.
Finding the right approach is part of the work. The therapist will discuss options and collaborate on a plan that matches the person's goals, needs and preferences. This often means combining approaches and adjusting methods as progress is made.
Online therapy gives flexibility and practical access to support. Video calls replicate a face-to-face conversation, phone sessions need less bandwidth and can be easier to fit into a busy day, live chat suits shorter check-ins and text-based messaging allows ongoing written reflection. These formats make it easier to arrange regular work while fitting sessions around work, caregiving or other commitments.
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Common questions
What concerns does Sarah help with?
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What experience does she bring?
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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