Sarah Mikael , PACFA

Sarah Mikael is a counsellor with ten years of professional experience working in Canada and Australia. She holds PACFA accreditation and focuses on helping people manage stress, anxiety, low mood and problems with self esteem. Sarah aims to meet you where you are and to adapt conversations and plans to your needs.

She works with people who are dealing with relationship strain, past trauma or abuse, and the knock-on effects of depression. Her practice also addresses related difficulties such as abandonment, attachment concerns and communication problems. Sarah draws on evidence-based therapeutic techniques to design clear, practical steps for change.

Sessions are straightforward and compassionate. Sarah listens for what matters most and helps people set small, achievable goals. She explains options simply and checks in about what is working as therapy progresses.

Sarah is comfortable offering therapy in English, Arabic, Pushto and Urdu. She recognises that starting therapy takes courage and aims to make the process as direct and manageable as possible for each person.

For people living with chronic illness, caregiver stress or complex life transitions such as adoption and ageing, she offers steady support and problem-solving strategies. Her work also covers personality-related difficulties, codependency and issues around commitment and control.

Sarah tailors each plan to an individual's goals and preferences, with a focus on practical tools to reduce distress and improve everyday functioning.

Evidence-based approaches and online care

Sarah uses evidence-based techniques to help people manage emotions and build coping skills. One common approach focuses on teaching practical coping strategies for anxiety and stress, such as breathing, grounding and step-by-step behavioural changes to reduce worry and avoidance. Another approach concentrates on processing trauma and abuse through careful, paced conversations that help a person make sense of painful events and reduce their ongoing impact.

Finding the right approach is part of the work together. The therapist will discuss options with you and choose methods based on your goals, current difficulties and personal preferences. That collaborative process means techniques are adjusted as progress is made and priorities change.

Online sessions are offered by video call, phone, live chat or text-based messaging to make therapy easier to fit into a busy life. Video calls allow a face-to-face conversation from wherever you are. Phone sessions can be a good fit when bandwidth is limited or you prefer not to be on camera. Live chat and text options suit shorter check-ins, written reflection or people who prefer typing over speaking. These formats give flexibility for different schedules and communication styles.