Anxiety
Persistent worry, anxious thoughts, tension and overwhelm.
Mental Health Specialist
Sarah Dewson
Mental Health Counsellor & Psychotherapist
Individual and couples counselling in Grand Cayman, with a gentle, confidential and person-centred approach to emotional, relationship and life challenges.
Experience
20+ years in counselling
Focus
Individuals & Couples
Approach
Gentle · Person-Centred · Practical
Location
Grand Cayman
About Sarah
A calm, confidential space to talk openly
For Sarah Dewson, the Cayman Islands have long been home. Her family moved to Cayman in the mid-1980s, and after completing her secondary education on island, she went on to study Sociology in Canada.
Sarah’s interest in counselling began early in her career while working with young people in Cayman. Since then, her professional journey has taken her from the Cayman Islands to New Zealand, Ireland and the United Kingdom — giving her the opportunity to work with people from many different backgrounds and at very different stages of life.
With more than two decades of counselling experience, she offers a gentle, confidential and person-centred approach to relationship difficulties, anxiety, depression, grief, addiction, major life changes and emotional wellbeing.
Areas of Support
Areas Sarah supports
Depression & Low Mood
Support through persistent low mood, emotional exhaustion or disconnection.
Relationships
Communication difficulties, conflict, trust, boundaries and relationship decisions.
Couples Counselling
Support for couples experiencing recurring conflict, distance, intimacy concerns or loss of trust.
Grief & Loss
Support after bereavement or major life changes.
Addiction
Alcohol, substance use and addictive behaviours affecting individuals or relationships.
Parenting & Family
Support around family change, communication and parenting pressure.
Life Transitions
Relocation, career change, separation, retirement or parenthood.
Emotional Wellbeing
Support during periods when life simply feels overwhelming.
Couples Counselling
Couples counselling with a supportive, collaborative approach
Sarah has expanded her professional training to include couples counselling, completing a Diploma in Couples Counselling. She offers couples counselling at Cayman Medical alongside her individual counselling practice.
She works with couples experiencing communication difficulties, recurring conflict, loss of trust, affairs, intimacy concerns, separation or divorce, addiction-related relationship challenges and other pressures that can affect a relationship.
- communication difficulties
- recurring conflict
- loss of trust
- affairs
- intimacy concerns
- separation
- divorce
- addiction-related relationship challenges
Sarah’s role is not to decide who is “right” or “wrong”.
Instead, she helps both partners:
- feel heard
- understand patterns
- communicate more constructively
- explore healthier ways of relating
Couples counselling is tailored to the circumstances and needs of each couple and progresses at a pace appropriate for both partners.
Individual Counselling
Individual counselling
Over the years, Sarah has supported individuals through anxiety, depression, grief, addiction, relationship difficulties, parenting challenges, major life changes and periods when life simply feels overwhelming.
Individual counselling provides a confidential space to talk openly, better understand what you are experiencing and explore constructive ways forward — at a pace that feels appropriate for you.
Sarah’s Approach
Gentle, person-centred and practical
What Sarah values most is creating an environment where people feel comfortable speaking openly without feeling judged or rushed.
Counselling can help people better understand what they are experiencing, recognise recurring patterns, explore what may be holding them back and find realistic ways to move forward.
- comfortable
- not judged
- not rushed
- able to speak openly
Listen
Space to talk openly.
Understand
Explore emotions, experiences and patterns.
Reflect
Build clarity around what is happening.
Move Forward
Consider practical, realistic next steps.
Professional Journey
An international path — with Cayman at the centre
Cayman Islands
Early life and secondary education on island.
Canada
Sociology studies at the University of Western Ontario.
Cayman Islands
Early counselling-related work with young people.
New Zealand
Outpatient addiction and general counselling experience.
Ireland
MSc studies and counselling experience supporting people affected by homelessness.
United Kingdom
Further counselling and community experience.
Return to Cayman
Continued counselling work and support within the local community.
Professional Experience
Experience across different settings
Sarah’s career spans a breadth of real-world counselling environments.
Community counselling
Addiction services
Primary care
Homelessness services
Education
Education & Training
Education & professional background
- MSc in Alcohol and Drug Policy — Trinity College Dublin
- Professional qualifications in counselling and psychotherapy
- Additional training in addiction counselling
- Counselling children and young people
- Diploma in Couples Counselling
Professional Memberships
Professional registration & memberships
- British Association for Counselling and Psychotherapy (BACP)
- Council for Professions Allied with Medicine (CPAM), Cayman Islands
Cayman Community
A longstanding connection to Cayman
Cayman has long been home. Sarah grew up partly on island, completed secondary education here, and has returned to continue supporting people and families in the local community.
Alongside her work at Cayman Medical, Sarah also works as a school counsellor — continuing a career deeply connected to supporting individuals, families and the wider Cayman community.
Who May Benefit
You may find counselling helpful if you are…
- going through a difficult period personally
- experiencing relationship difficulties
- adjusting to change
- dealing with anxiety or low mood
- processing grief
- facing addiction-related concerns
- navigating parenting or family pressure
- feeling emotionally overwhelmed
- uncertain about an important life decision
- simply feeling that something is not quite right
You do not need to wait until things become overwhelming before seeking support.
Your Session
What to expect in a session
01
A confidential conversation
Talk about what has brought you to counselling.
02
No pressure to explain everything at once
Counselling can progress at a pace that feels appropriate.
03
Explore what matters most
Identify the patterns, concerns or relationships you would like to work on.
04
Consider practical ways forward
Develop greater understanding and possible next steps together.
Private & Confidential
Private, respectful and confidential
Counselling at Cayman Medical is delivered in a private, calm setting where confidentiality, respect, dignity and non-judgemental communication are prioritised.
Privacy
Confidentiality
Dignity
Respect
Cayman Medical
Explore Mental Health & Counselling at Cayman Medical
Learn more about individual counselling, couples counselling, anxiety support, grief, addiction, life transitions and other mental-health services available at Cayman Medical.
Book a confidential appointment with Sarah
If you would like to speak with Sarah about an individual, relationship or emotional concern, contact Cayman Medical to arrange an appointment.
Need urgent help?
Counselling appointments at Cayman Medical are not an emergency response service. If you or someone else is in immediate danger, call 911 or seek emergency medical care.
Frequently asked questions
Sarah provides individual and couples counselling for concerns including anxiety, low mood, grief, addiction, relationship difficulties, parenting challenges, major life changes and emotional wellbeing.
Yes. Sarah has completed a Diploma in Couples Counselling and offers couples counselling at Cayman Medical alongside her individual practice.
Yes. Individual counselling is available for relationship concerns. Your partner does not need to attend for you to seek support.
Sarah’s approach is gentle, person-centred and practical. She aims to create an environment where people feel comfortable speaking openly without feeling judged or rushed.
Yes. Counselling at Cayman Medical takes place in a private setting where confidentiality, dignity and respect are prioritised.
Your first session is a confidential conversation about what has brought you to counselling. There is no pressure to explain everything at once.
Yes. Sarah supports people experiencing anxiety, persistent worry, low mood, emotional exhaustion and related concerns.
Yes. Sarah has training and experience in addiction counselling and can support concerns related to alcohol, substances and addictive behaviours — including for affected partners or family members.
Yes. Sarah provides compassionate support after bereavement and other forms of loss or major life change.
Yes. Sarah can support parents navigating family change, communication difficulties and parenting pressures.
Yes. With a longstanding connection to Cayman and experience supporting people through major life changes, Sarah can help with relocation and adjustment concerns.
Contact Cayman Medical through the contact page, call 623-1000, or WhatsApp 326-1000 to request a confidential appointment with Sarah.
Mental Health & Counselling
A confidential conversation can be a meaningful first step.
Speak with Sarah Dewson about individual counselling, couples counselling or emotional wellbeing at Cayman Medical.
Related Care
Explore connected services
- Mental Health & CounsellingOverview of counselling services for individuals and couples.Explore
- Family MedicineContinuity of care for everyday and ongoing health needs.Explore
- Women’s HealthSpecialist women’s health assessment and coordinated care.Explore
- Men’s HealthConfidential care for men’s physical and emotional wellbeing.Explore