Sarah Hamilton, PGDip (Psych), MBACP (Accred)

Sarah Hamilton, PGDip (Psych), MBACP (Accred)

The Boardroom
Broad Street

07580 482751

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About me

Do you spend most of your days feeling down or anxious? Unable to handle the stress of everyday life and relationships?

I help people:

  • Learn who they are and find the courage to live richly and fully
  • Overcome anxiety, depression and trauma
  • Transform anger and low self-esteem
  • Improve relationships
  • Deal with bereavement, divorce, and other difficult life-events

It can take huge courage to consider talking to a therapist. Many people feel they 'should' be able to handle things on their own. You may even think your problems are so BIG, or so entrenched, that nothing can fix them. But in my work I’ve seen that everyone has the capacity to get ‘un-stuck’, no matter how difficult a place they may be in.

Would you like a no-obligation chat about your situation? Call in confidence on 07580 482751.

Counselling is a very different kind of conversation. We orient ourselves to the detail of your experience; we pay attention to the things that normally get skimmed over; we ask different questions. We’ll maintain a gentle, steady curiosity about you and whatever you’re facing.

As things get spoken out loud and looked at together, the circular narrative that takes place in the closed circuit of your own mind can begin to shift – to move forwards. You and your story can start to ‘make sense’. You can stop operating so often on autopilot, start choosing different responses to the world where appropriate... and begin to achieve the changes you want to see.

Our conversations will take quite a different shape depending on what kind of changes you're looking for, and the goals we agree for our sessions. But whatever we talk about, you can expect our time together to cover the following stages:

  • 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.
  • 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.
  • 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.

Everyone faces different challenges – and has their own natural pace for change. So the above three ‘stages’ of counselling might take as few as six sessions for some people, while for others, they might extend over months or sometimes years. Of the people I see, the average is around 15-18 sessions.

If you are struggling with difficult emotions or past traumas, I can help you find relief and coping skills; peace and healing; optimism and confidence.

If you are trying to navigate situations that cannot be changed, I can help you find a path of ease and courage.

I work with adults of all ages, and teenagers from age 13 upwards, at my clinic in Hay-on-Wye. I am particularly experienced at helping people deal with anger, anxiety, depression, personality disorders, PTSD, relationship and family issues, and separation and divorce.

Just call me, or email, to find out if I can help with what you are facing.

Training, qualifications & experience

I am an experienced counsellor and psychotherapist, fully accredited with the BACP, with an enhanced DBS-check for working with young people.

My working life has included retail and restaurant work, teaching, web-development, marketing, and management. A fascination with communication and psychology eventually led me to the field of talking therapies in 2011.

Since then I have worked as a counsellor and psychotherapist for adults and young people in the private and charitable sectors, and in the NHS. I co-founded and managed a network of counsellors across London and Reading, and ran a successful private practice in Harley Street (London) before moving to Hay-on-Wye in 2017.

At the heart of my professional qualifications is a rigorous four-year Postgraduate Diploma in Psychotherapy. My studies covered a range of therapeutic approaches so I can work flexibly with each person. I've also undertaken many specialist courses, particularly in the areas of trauma-treatment, mindfulness, neuroscience, and counselling for young people.

Member organisations


Accredited register membership

Other areas of counselling I deal with

I have undergone specialist training in working with climate grief and environmental despair.

Photos & videos

  • Counselling Clinic, Hay-on-Wye
  • Counselling Clinic, Hay-on-Wye
  • Am I The Right Counsellor For You?


My standard rate per 50-minute session is £60.

I do have some flexibility for those on limited incomes and can offer reduced rates down to £35 where necessary. If you think you will struggle to pay the standard rate, please let me know when you first contact me.

Further information

Private medical insurance
I am a registered practitioner with Aviva and AXA Private Healthcare. If you would like to pay for your sessions through private medical insurance, please let me know when you contact me. Insurance fees are £80 per session.

Employee assistance programmes
I am happy to accept referrals from EAPs (Employee Assistance Programmes). Please contact me for further information.

Maps & Directions

Hay-on-Wye, HR3 5DB

Type of session

Online counselling: No
Telephone counselling: No
Face to face counselling: Yes
Home visits: No

Practical details

Sign language: No
Other languages: None


Accessibility information
Wheelchair access: Unspecified

I offer sessions by Skype video for those unable to reach my office in Hay-on-Wye.


Monday, Tuesday, Wednesday and Thursday

Types of client

Young people
Older adults
Employee Assistance Programme