Dr. Sarah Ralph MBPsS BACP
My name is Sarah Ralph. My aim as a therapist is to develop a strong, respectful, non-judgemental and honest relationship with clients. I consider that the client is their own expert, and my role is to facilitate and support the client’s journey as they manage and overcome difficulties and challenges in their life.
I believe that the relationship between therapist and client is central to the process of change; I aim to provide a safe, empathic space for the client to feel relaxed and contained, in order to explore and reflect upon their experiences.
Who can I help?
My clients are as diverse as the world in which we live and I endeavour to be culturally aware within my practice. I specialise within personality disorders, eating disorders, and spiritual growth. My areas of work further include depression, stress, bereavement and grief, anxiety, panic, phobias, self-esteem, self-worth, confidence, body image, eating disorders, suicidality and self-harming behaviours, family and relationship issues, trauma, and abuse (not an exhaustive list).
The unique nature of therapy means that it can be time-limited or may be open-ended, it may be goal orientated or more flexibly experienced. Most importantly your therapeutic experience will be determined by what you want, and how therapy can help you to achieve that.
Where am I based?
I provide private therapy in a comfortable, relaxed setting in St Albans, Hertfordshire. There is a pay and display car park opposite the therapy room in St Albans.
I regularly conduct therapy and supervision, both globally and within the UK, via video calling on Skype and FaceTime, or via telephone for clients who are unable to attend in person.
What to expect from your first session?
Your first session will involve us getting to know each other. I will ask you some questions to help you to explain why you have come for counselling and find out what you would like to gain from it. I will take great care to help you to feel comfortable and at ease in your session. We will discuss what your therapy will look like and involve going forward, should you wish to engage in your therapy with myself as your therapist.
Training, qualifications & experience
I am an integrative counselling psychologist, I am therapeutically trained in Psychodynamic theory, Person-Centred Therapy, Cognitive Behavioural Therapy, Existential Psychotherapy and Dialectical Behavioural Therapy. I draw upon each of these theories in order to create a therapeutic experience that is unique to the client’s individual needs.
I have worked therapeutically with both individuals and groups. I have worked within various settings including hospitals; both outpatient and inpatient units, psychological and welfare services, non-profit charitable organisations, primary schools, universities, and Her Majesty’s Prison Service.
I am currently employed as a Counselling Psychologist by the NHS and Her Majesty's Prison Service. I provide private therapy. I am a Psychology lecturer at City University London, lecturing on both the BSc Psychology and the Doctorate in Counselling Psychology
2012 – 2015 City University London, Professional Doctorate in Counselling Psychology (Researcher-Practitioner).
2011 – 2012 City University London, MSc Counselling Psychology, 1st achieved.
2008-2009 University of Hertfordshire, MSc Psychology (including GBR), 1st achieved.
2006-2007 City University London, Graduate Certificate in Counselling Psychology. Distinction achieved.
2000-2003 University of Brighton, BA(Hons) Social Science with Human Psychology pathway, 2:1 achieved. Modules of study included The Helping Relationship, Therapeutic Alliance and Counselling Skills
November, 2016. International Psychology Conference Dubai (IPCD) Presented on understanding how Suicidal and Para-suicidal behaviours present differently across varying diagnostic populations, and how to formulate the function of these behaviours and incorporate into effective treatment strategies.
November, 2016. International Psychology Conference Dubai (IPCD) Presented a Qualitative Interpretive Phenomenological Analysis, of UK prisoners experiences, of a forensic adaptation of a Dialectical Behavioural Therapy programme.
December, 2015. The Society for Dialectical Behavioural Therapy (SFDBT) International Annual Conference. Dublin, Ireland. Poster presentation representing an Interpretive Phenomenological Analysis of prisoners’ experiences of completing forensic DBT.
July, 2014. BPS Division of Counselling Psychology Annual Conference, UK. Presented on adapting Dialectical Behavioural Therapy for a forensic context.
November, 2013. International Psychology Conference Dubai (IPCD). Presented on Global Epidemiology of Personality Disorders and Psychotherapeutic treatments for Personality Disorders.
June, 2011. Dialectical Behavioural Therapy Training Conference, UK. Presented a forensic client case study.
July, 2015 to date. BSc Psychology, Introduction to Counselling Psychology, City University London. Module Leader, developing and leading lectures in line with course syllabus, developing and marking coursework and exams in line with BPS guidelines and course syllabus.
February, 2015 to date. Doctorate in Counselling Psychology, Elective Theory Advances, City University London. Guest lecturer on the key concepts and philosophy of Dialectical Behavioural Therapy.
Additional Training ________________________________________________________
07/2014 Psychometrics Level A, SHL Talent Measurement Training
07/2014 Psychometrics Level B, SHL Talent Measurement Training
10/2013 Schema Therapy, International Society of Schema Therapy
07/2012 Intensive Dialectical Behavioural Therapy, British Isles DBT Training
Areas of counselling I deal with
- Affairs and betrayals
- Anger management
- Anorexia nervosa
- Antisocial personality disorder
- Asperger's syndrome
- Attachment disorder
- Avoidant personality disorder
- Binge-eating disorder
- Bipolar disorder/Manic depression
- Body dysmorphic disorder
- Borderline personality disorder
- Bulimia nervosa
- Carer support
- Child related issues
- Dependent personality disorder
- Domestic violence
- Eating disorders
- Family issues
- Generalised anxiety disorder
- Hearing voices
- Histrionic personality disorder
- Low self-confidence
- Low self-esteem
- Narcissistic personality disorder
- Obsessive compulsive disorder (OCD)
- Obsessive-compulsive personality disorder
- Panic disorder
- Paranoid personality disorder
- Passive aggressive behaviour
- Personality disorders
- Post-traumatic stress disorder (PTSD)
- Postnatal depression
- Pregnancy and birth
- Relationship issues
- Schizoid personality disorder
- Schizotypal personality disorder
- Seasonal affective disorder (SAD)
- Separation and divorce
- Suicidal thoughts
- Tourette's syndrome
- Work related stress
Other areas of counselling I deal with
I am fully trained and experienced in the delivery of Dialectical Behavioural Therapy (DBT) which is stipulated by the National Institute for Clinical Excellence (NICE) guidelines to be the primary therapeutic intervention in the treatment of borderline personality disorder (BPD, Emotionally Unstable Personality Disorder).
- Acceptance and commitment therapy (ACT)
- Behavioural therapy
- Cognitive and behavioural therapies
- Cognitive behavioural therapy (CBT)
- Cognitive therapy
- Couples counselling
£80 per session for individual therapy
£100 per session for couples
£120 per hour for families
£50 per session for clinical supervision
I am registered with The Healthcare and Professionals Council (HCPC), The British Psychological Society (BPS) and the British Association for Counselling and Psychotherapy (BACP).
Maps & Directions
Type of session
|Face to face counselling:||Yes|
I currently have availability on weekdays & Saturdays. I offer late evenings and flexible appointment times.
Types of client