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My Approach

MY APPROACH

An integrative approach to therapy

There isn't one way to do therapy, and there isn't one approach that works for everyone. I draw on a range of psychological models and therapeutic approaches, tailoring the work to your unique needs, experiences and goals.

Therapy with me is a collaborative process. I aim to create a space where you can feel safe, understood and supported, while also being challenged when it might help. The approaches I use are evidence-based and have been shown to be effective in supporting lasting change.

01.  THE BIG PICTURE

Counselling & Psychotherapy

Therapy provides a space to explore what's happening in your life, make sense of your experiences and consider how you would like things to be different. I work collaboratively and relationally, paying attention not only to the difficulties that have brought you to therapy, but also to the broader context of your relationships, experiences and values.

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Together, we can develop a deeper understanding of the patterns, emotions and experiences that may be contributing to your difficulties, helping you move towards meaningful and lasting change.

02.  COGNITIVE & BEHAVIOURAL APPROACHES

Cognitive Behavioural Therapy
(CBT)

Cognitive Behavioural Therapy (CBT) explores the relationship between our thoughts, emotions, physical sensations and behaviours. It can help identify patterns that may be maintaining difficulties and develop practical ways of responding differently.

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CBT can be particularly effective for difficulties such as anxiety, depression, panic, stress, low self-esteem and unhelpful patterns of thinking. I draw on CBT within a broader integrative approach, adapting the work to your individual needs, experiences and goals.

I often draw on Compassion-Focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), two approaches that help us develop a different relationship with difficult thoughts, emotions and experiences.

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These approaches encourage greater self-compassion, emotional resilience and psychological flexibility. Rather than focusing solely on reducing distress, they support us in responding to challenges in ways that feel more aligned with our values, helping us move towards the life we want to live even when things feel difficult or uncertain.

03.  THIRD WAVE APPROACHES

Acceptance, Compassion &
Psychological Flexibility

Schema Therapy explores longstanding emotional patterns, beliefs and coping strategies that often develop earlier in life and continue to influence how we see ourselves, relate to others and respond to challenges.

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It can be particularly helpful for recurring difficulties such as low self-esteem, relationship challenges, perfectionism, people-pleasing, emotional disconnection or persistent feelings of not being good enough. By understanding these patterns, we can begin to develop new and more helpful ways of relating to ourselves and others.

04.  UNDERSTANDING PATTERNS

​Schema Therapy

Narrative and Solution-Focused approaches help us explore the stories we hold about ourselves, our relationships and our lives. Together, we can examine how these stories may have developed and whether they continue to serve us in the way we would like.

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Alongside this exploration, we also focus on strengths, resources and what is already working well. These approaches can be particularly helpful when you feel stuck, are navigating a significant life change, or want to build confidence and identify practical ways forward.

05.  MAKING SENSE OF YOUR STORY

Narrative and Solution-Focused Approaches

When working with trauma, I draw on evidence-based trauma-focused approaches tailored to your needs and circumstances. This may include Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), which can help you process traumatic experiences, understand the impact trauma has had on thoughts, emotions and behaviour, and develop a greater sense of safety and stability.

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I may also use the FLASH Technique, a trauma-focused intervention designed to reduce the emotional intensity and vividness associated with distressing memories whilst minimising overwhelm. Depending on your needs, these approaches may be used on their own or integrated with other therapeutic models as part of a wider treatment plan.

06.  TRAUMA-FOCUSED APPROACHES

Working with Trauma

The right approach for you

You don't need to know exactly what you need from therapy. I'll work with you to understand what's most helpful, and we can adjust our focus as we go.

© 2026 by Dr Sarah Noakes, DPsych, MSc, BScN. Powered and secured by Wix

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