A space for reflection, connection, and understanding
Relationship Counselling and Psychotherapy
Relationships are central to our lives and well-being. When our relationships don’t meet our expectations, they can be the biggest source of stress and pain, which can affect our self-esteem, overall health, and feelings about ourselves and our lives.
Couples may experience communication difficulties or problems at different times in their relationships, such as starting to live together, having the first baby, losing employment, bereavement, children leaving home, sexual difficulties, infidelity, divorce, and separation. The thinking space of therapy can help couples communicate better and understand each other better.
Therapy with me can offer you the space to think and talk without judgment. We can think together about why things might be difficult for you so you can gain a deeper understanding of yourself and your relationships.
Meet Sarah
I am a psychodynamic couple and individual psychotherapist and have experience of providing therapy to couples and individuals from many different backgrounds and at many different life stages.
I completed my post-graduate psychotherapy training at Tavistock Relationships, an internationally renowned institution for couple psychotherapy, training and research. I am an Honorary Fellow at Birkbeck College, University of London.
In addition to working in private practice, I am a visiting clinician and assessor at Tavistock Relationships, where I work with individuals and couples. In addition to my clinical role at Tavistock Relationships, I have worked with parents and families for many years, supporting them with parenting issues and leading research programmes and evidence-based interventions.
I am registered with the British Association for Counselling and Psychotherapy (MBACP) and adhere to their professional code and ethical guidelines.
I am dedicated to providing a safe and accepting space so you can think and be honest without judgment or fear.
I look forward to meeting you and working with you to help you better understand yourself and those who are most important to you.
Couples
Relationships start out full of hope and expectation but can end up disappointing and being a source of dissatisfaction, resentment, and loneliness. Things can go wrong, and hurtful things can be said or done. The focus can often be on the other person and them being the source of the problem.
However, a couple is created together; both people have a part to play in what happens in a relationship. Couple therapy can help you explore how things are between you; it is a safe and non-judgmental space to think about how things might be different.
Therapy can improve a relationship by improving intimacy and communication. If you feel like your relationship has no future, therapy can help you work together on ending it.
Individuals
You may feel stuck and unsure of what's next. The thinking space that therapy offers can help you better understand yourself and others. It can help you think about who you are and understand something about the way you think and behave.
Your current relationship might not be what you had imagined it would be. You might find yourself arguing with your partner, and things don't get resolved. You might be single, and finding the right person might feel impossible. Perhaps commitment is difficult. It may be that a long-term relationship has ended, and you are struggling to imagine what comes next.
You might also be navigating the painful and often isolating experience of family estrangement, whether you've made the difficult decision to distance yourself from family members, or find yourself cut off by others. These ruptures can bring grief, guilt, confusion and a deep sense of loss, even when the separation feels necessary.
If you have difficulties in relationships, therapy with me can help you understand yourself better.
Psychosexual Therapy
This specialist area of psychotherapy addresses concerns around sexual function, desire, intimacy, identity and relationships. Whether difficulties have been present throughout life or have emerged following particular circumstances, therapy can offer valuable support. Sessions provide space to explore what might be contributing to sexual concerns, work through any anxiety or shame connected to sex, and develop greater bodily awareness, confidence and overall sexual wellbeing.
As I'm currently completing further training in psychosexual therapy, I offer these sessions at a reduced fee.
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People seek psychosexual therapy for many reasons, including:
Low or absent sexual desire – often linked to stress, relationship tensions, hormonal changes, past experiences or shifts in life stage
Difficulty with arousal or physical response – which may have psychological roots such as anxiety, body image concerns or unresolved relational issues
Pain during sex – where no medical cause has been found, or where physical and emotional factors are intertwined
Erectile difficulties or premature ejaculation – frequently connected to performance anxiety, stress or underlying relationship dynamics
Difficulty reaching orgasm – which can stem from shame, disconnect from the body, or learned patterns that are hard to shift alone
Sexual identity or desire concerns – including questions about orientation, kinks, or feeling out of step with a partner's needs
Impact of life events on sexuality – such as childbirth, illness, trauma, bereavement or ageing
Intimacy avoidance or fear of closeness – often rooted in attachment patterns or past relational wounds
FAQs
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You can contact me via phone or email, and I will respond within 24 hours to arrange a brief 10-15 minute telephone conversation with you. During this call we can think about why you are seeking therapy and the kind of help you are looking for.
If it feels like the right way forward, we will arrange a time for an initial face-to-face or online consultation.
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The initial consultation is important. It gives us the opportunity to explore your reasons for seeking support. This first meeting might make you feel anxious and worried. It can feel daunting meeting a therapist for the first time, but often, people find it a relief to talk about problems in a safe and non-judgmental space. The initial consultation will take an hour.
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If we decide to work together in regular therapy, sessions are weekly. I commit to reserving your appointment time each week. This means I will also ask you to pay for missed sessions. If on occasion something happens which means you cannot attend, I will do my best to offer a rescheduled session within the same week at no additional charge, though this may not always be feasible.
If I need to cancel a session, you will not be charged.
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You are welcome to come alone if you are single or if your partner does not wish to attend therapy with you.
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The length of therapy depends on the complexity of the issues and how long things have been difficult. We can review our work regularly so you have a sense of how things are progressing.
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The fee for the initial consultation is £130.
The fee for ongoing, regular sessions is £90 for individuals, £110 for couples, and £130 for international clients.
Once we make the decision to start working together in regular therapy, sessions are invoiced at the end of each calendar month.
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Following a first contact by email or phone, we can agree on a time to meet for an initial consultation. This meeting gives you the space to describe what is causing you difficulties currently and to consider how you got there so that we can start to see a way of working. If we agree that there is a way for us to work together, we can then arrange regular weekly sessions.
Publications
Mentalization-Based Therapy – Parenting under Pressure (MBT-PP): what does it feel like? Does it work? How can it help? - In Couples as Parents’ Explorations in Couple Therapy’ Routledge (2024)
Working with warring parents - Healthcare Counselling and Psychotherapy Journal, (October 2021)
How to tell if you’re being ‘future faked’ by the person you’re dating - The Independent, (January 2026)
Contact
To arrange an initial consultation, please send an email to
admin@sarahingramtherapy.com
+44 (0)7761 530260
Currently working online on Zoom.
Private room in Sevenoaks