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Sarah Swain @ Fulcrum Shift

Sarah Swain @ Fulcrum ShiftSarah Swain @ Fulcrum ShiftSarah Swain @ Fulcrum Shift

How I HELP

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People come to me at different kinds of crossroads

A relationship that has quietly changed. A loss that's harder to carry than expected. A transition, professional or personal, that has left you feeling less like yourself. A change you can't yet make sense of.


These aren't just problems to resolve. They're often the place where something more important is trying to surface.


Many of the people I work with have tried therapy before and found it didn't quite fit. Too slow, or too focused on the past without practical application, or with a therapist who didn't understand the world they move in. If that's been your experience, it's worth knowing that this works differently.


Rather than pushing for a quick resolution, we take the moment seriously. We look at how you've learned to manage. The patterns you've developed, the expectations you've carried, and what may no longer fit in the same way. Not to analyse for the sake of it, but to help you see more clearly what you need now.


I work integratively, drawing on a range of therapeutic approaches depending on what you need. Alongside therapy, I integrate coaching where it's useful, so that what you come to understand can translate into how you live and relate day to day. For clients where trauma is part of what we're exploring, I also offer EMDR.


EMDR (Eye Movement Desensitisation and Reprocessing) is a structured therapy that helps the brain process experiences that become stuck. It doesn't require you to talk through difficult memories in detail. Instead, it works by helping your nervous system process what it hasn't been able to, so that past experiences lose their grip on how you feel and function now.


For many of the people I work with, there is a gap between what they understand about themselves and how they actually feel and behave. The reflective and relational work helps to close that gap from the top down: building insight, making sense of patterns, understanding where they came from. EMDR works from the bottom up, addressing what the body and nervous system are still carrying. Coaching then helps to translate both into practical change. Used together, the three can reach parts of the work that none of them does as well alone.


Over time, you may notice:


  • A greater ease and honesty in your closest relationships. 
  • A clearer sense of who you are beyond the roles you carry. 
  • More clarity when facing change or loss. 
  • The ability to respond rather than react. 
  • Decisions that feel more considered, and more like you.


Not by becoming someone different. By coming back into closer contact with yourself.


Next steps

If you're ready to explore what this might look like for you, I'd be glad to hear from you.

Book here

Sarah Swain @ Fulcrum Shift

Therapy/coaching for high functioning professionals

Online in the UK, London, South East and Kent.

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