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Sam Agnew

Profile / United Kingdom

Sam Agnew, BACP

United Kingdom

Counsellor - Anxiety and Addiction

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  • Cognitive Behavioral Therapy
  • Acceptance and Commitment Therapy
  • Attachment-Based methods

About Sam

Sam Agnew is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) and has nine years of professional experience. She helps people manage stress, anxiety, addiction, trauma and abuse, and a wide range of other concerns including ADHD, relationship and intimacy issues, grief, and depression.

Sam uses practical, evidence-informed approaches when working with clients. She draws on Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), Attachment-Based methods, Client-Centred work and Dialectical Behaviour Therapy (DBT). Sessions focus on noticing unhelpful thoughts and habits and trying different ways of responding.

In sessions Sam talks through what is happening now, and what patterns keep problems going. She uses short, structured exercises as well as open conversation. Clients can expect concrete tools to manage anxiety, cravings, low mood or sleep problems, plus space to review how those tools are working.

Sam has experience supporting people with neurodiversity concerns and complex trauma, and with relationship and family-related difficulties. She also works with clients facing long-term health conditions, caregiver stress and issues around identity and sexuality.

Sam describes her work as integrative and transpersonal, which means she draws from several approaches to respond to individual needs. To begin, she asks about practical goals and then uses CBT and related methods to test small changes and track progress.

How Sam applies CBT, ACT and attachment work online

Sam often uses Cognitive Behavioral Therapy to help people spot thought patterns and test small behavioural changes. CBT sessions focus on practical exercises and short experiments to reduce anxiety, improve sleep or manage cravings.

She also draws on Acceptance and Commitment Therapy, which looks at values and willingness to accept difficult thoughts while taking action towards goals. ACT can help with living alongside persistent feelings rather than trying to eliminate them. Attachment-based methods are used to map relationship patterns and how early connections affect current conflicts or intimacy issues. These methods help when relationship dynamics or attachment concerns are part of the problem.

Finding the right mix of approaches is part of the work. Sam will discuss goals and preferences and agree together which methods to try. That collaborative decision-making means the approach can change based on what helps most.

Confirm the exact session formats before booking, as the biography does not specify them. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. Discuss practical arrangements at first contact so sessions fit into daily life and your routine.

Areas of expertise

Primary focus

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemBipolar disorderDepressionCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

9+ years

Listed in

United Kingdom

Languages

English

Frequently asked questions

What kinds of problems does Sam commonly help with?

Sam works with stress, anxiety, addictions, trauma and abuse, ADHD, relationship and intimacy issues, grief, depression and related concerns.

How does she use CBT in sessions?

She uses CBT to identify unhelpful thoughts and habits, try behavioural experiments, and teach practical coping skills for mood, sleep and anxiety.

What experience does she bring?

Sam has nine years of professional experience and has supported people with neurodiversity, complex trauma, addiction and long-term health or caregiving stress.

What credential does Sam hold and where is she based?

Sam is registered with the British Association for Counselling and Psychotherapy (BACP) and is based in the United Kingdom.

In which languages can sessions be conducted?

Sessions are offered in English.

Can people outside the UK work with Sam?

She accepts international clients; confirm any cross-border considerations before booking.

How are sessions paid for and what does it cost?

Cost varies with location and sessions use a subscription that can be cancelled at any time.

How do I start working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the counsellor supplied to BetterHelp. A registration can be checked with the body that issued it.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Sam Agnew

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