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About me

My name is Dr 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 thought and mood 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 regularly conduct therapy and supervision online, both globally and within the UK, via video calling on Skype, FaceTime and Zoom, or via telephone.

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 several disciplines including Psychodynamic theory, Person-Centred Therapy, Cognitive Behavioural Therapy, and Existential Psychotherapy. 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.


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.

Academic Teaching__________________________________________________________

July, 2015 to 2019. 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 2019. Doctorate in Counselling Psychology, Elective Theory Advances, City University London. Guest lecturer on the key concepts and philosophy of Dialectical Behavioural Therapy.

September, 2016 to 2019. BSc Psychology, Applied Clinical 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.

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

Member organisations

Registered / Accredited

Registered / Accredited

Being registered/accredited with a professional body means an individual must have achieved a substantial level of training and experience approved by their member organisation.


Health and Care Professions Council

The HCPC are an independent, UK-wide health regulator. They set standards of professional training, performance and conduct for 16 professions.

They keep a register of health professionals who meet their standards, and they take action if registered health professionals fall below those standards. They were created by a piece of legislation called the Health Professions Order 2001.

Registration means that a health professional meets national standards for their professional training, performance and conduct.

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 (EUPD).

Therapies offered

  • Acceptance and commitment therapy (ACT)
  • Behavioural therapy
  • Cognitive and behavioural therapies
  • Cognitive behavioural therapy (CBT)
  • Cognitive therapy
  • Couples counselling
  • Dialectical Behavioural Therapy (DBT)
  • Existential therapy
  • Family/systemic therapy
  • Group therapy
  • Humanistic therapies
  • Integrative
  • Mindfulness
  • Other therapies
  • Person-centred therapy
  • Psychoanalytical and psychodynamic
  • Solution focused brief therapy


£120 - £150 per session for individual therapy
£150 - £180 per session for couples
£180 - £210 per hour for families

£80 per session for clinical supervision

Fees are based on a means tested system which takes into account both client financial circumstances and time commitment outside of the structured appointment. Please email for further information and concessions.

Further information

I am registered with The Healthcare and Professionals Council (HCPC), The British Psychological Society (BPS) and the British Association for Counselling and Psychotherapy (BACP).

St. Albans

Type of session

In person
Home visits

Practical details

Sign language
Other languages None


Due to my practice being based online I have a variety of availabilities to suit a variety of time zones.

Types of client

Young people
Older adults
Employee Assistance Programme


Dr. Sarah Ralph MBPsS BACP

Dr. Sarah Ralph MBPsS BACP