Sam Agnew

Sam Agnew is a counsellor with nine years of experience based in the United Kingdom. She holds BACP registration, and she aims to create a respectful, compassionate space where people can talk about difficult experiences and find ways forward. Her practice addresses a wide range of concerns including stress, anxiety, addiction, trauma and abuse, and issues around identity and intimacy.

Sam works in a way that draws on several evidence-based approaches rather than a single method. She uses plain language and practical tools to help people manage symptoms and build skills for everyday life. Sessions are tailored to each person’s needs, with time spent listening, reflecting, and trying out strategies together.

Her background includes supporting people who have experienced early life trauma, complex trauma responses, and substance-related problems. She also helps clients with neurodiversity issues such as autism and attention-deficit hyperactivity concerns, and with emotional struggles like low self-esteem, grief, and relationship conflicts.

Sam describes her approach as integrative and transpersonal, which means she considers emotional, psychological and personal meaning during therapy. She adapts the conversation and treatment plan to suit individual goals and circumstances. The first sessions focus on understanding what matters most to the client and agreeing practical next steps.

People choosing Sam can expect straightforward language, an emphasis on respect and sensitivity, and a collaborative manner. She invites clients to take things at their own pace while working towards clearer choices and improved coping in daily life.

How different approaches shape online work

Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings while taking steps that align with their values; it is often useful for anxiety, depression and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings and behaviours and offers structured exercises to change unhelpful patterns, which can help with anxiety, low mood, and some problems with sleep and eating.

Finding the right approach is usually a process. The counsellor will work together with the client to decide which methods suit their needs and goals. That collaboration includes checking how each approach feels in practice and adjusting the plan as progress or setbacks arise.

The practical benefits of online therapy depend on the session formats offered, which are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into busy days, reduce travel time, and allow shorter check-ins when needed. It can also let people try talking from a familiar location or choose sessions that suit energy and concentration levels. Registered or accredited professionals can adapt exercises and tools to work well in remote sessions and will help plan how to use time effectively.