Sandra Adams, BACP, NCPS

Sandra Adams uses a client-centred approach to help people make sense of painful or confusing parts of life. She draws on Cognitive Behavioural Therapy and Solution-Focused Therapy alongside her client-centred stance. Sandra has 26 years of experience and works from the United Kingdom. She communicates in English and accepts international clients.

Sandra has supported people dealing with addictions, gambling harm, trauma and relationship and intimacy-related issues. She also helps with anxiety, depression, stress, grief and problems with self-esteem or body image. Additional focus areas include attachment and abandonment issues, codependency, communication problems and concerns around BDSM, kink and alternative sex culture.

Her approach is practical and person-focused. Sessions aim to identify what is getting in the way now, and to build steps that fit the client's life. Sandra adapts what she does to each person's needs and preferences rather than using a one-size-fits-all method.

She has worked with people affected by domestic violence and those supporting someone with gambling problems, and she set up a Family and Friends group for people living with a loved one's gambling. Sandra also works as a clinical supervisor.

To begin, readers are invited to use the site's Start Therapy flow to complete a short matching questionnaire and schedule according to the therapist's availability. The subscription used for sessions can be cancelled at any time.

Therapy approaches and how they work online

Sandra uses a client-centred approach that focuses on the person's own goals and experiences, helping them to feel heard and to set the direction of the work. Cognitive Behavioural Therapy (CBT) is used to spot unhelpful thinking and to try small experiments that change feelings and behaviours. Solution-Focused Therapy concentrates on clear, practical steps and on building what already works in a person's life.

Finding the right approach is part of the work together. The counsellor and client will look at problems, goals and preferences, then agree which methods to try. That plan can change over time as progress and needs evolve, and decisions are made collaboratively.

Online therapy can make it easier to fit sessions into everyday life, for example by removing commuting time and allowing appointments during a lunch break or between other commitments. Some formats need less bandwidth and can be useful for shorter check-ins, while other formats let people use video to read facial cues. Confirm the current session options before booking so you know what formats are available and how they might suit your routine.