- Years in practice
- 9
- Registration
- BACP
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Trauma and abuse
- Focus
- Self esteem
About Sarah
Sarah Mac Farlane is a counsellor with nine years of experience working in the United Kingdom. She supports people facing common struggles such as stress, anxiety, low self-esteem and depression. Sarah also helps with trauma and abuse, grief, anger and parenting concerns.
Her approach is practical and person-focused, aimed at helping people make changes that fit their lives. Sarah draws on several therapeutic approaches and adapts them to what each person needs.
Background and approach
She uses Acceptance and Commitment Therapy (ACT) to help people notice thoughts without being driven by them, and Cognitive Behavioural Therapy (CBT) to work on thinking patterns and behaviour. She also uses Attachment-Based and client-centred ways of working to build trust and clarify what matters most to the person. Sessions tend to be conversational and goal-oriented.
Sarah listens to what a person brings and helps set small, manageable steps. Over time the work can include practical exercises, behavioural experiments and noticing patterns that keep problems going. Her practice also pays attention to issues such as ADHD, body image, communication difficulties and compassion fatigue.
People who are exploring their LGBT identity or dealing with life changes can find focused support. Sarah welcomes international clients and offers a range of online session formats. Sarah is registered with the British Association for Counselling and Psychotherapy, BACP, and brings nearly a decade of clinical work to her practice.
She aims to make the first steps into therapy feel straightforward and humane.
What Sarah works with
Everything Sarah lists, in their own terms. Parenting is the reason this directory exists; the rest shows what else Sarah helps people with.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Grief
- Eating disorders
- Parenting issues
- Anger management
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counselling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Approaches Sarah lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centred Therapy
- Cognitive Behavioural Therapy (CBT)
- Dialectical Behaviour Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Hypnotherapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
Therapeutic approaches for online counselling
Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and choose actions that align with their values. It can be useful for anxiety, depression and stress when someone wants to change what they do rather than eliminate every thought. Cognitive Behavioural Therapy, CBT, focuses on how thoughts, feelings and behaviours connect. It uses practical exercises and experiments to shift unhelpful patterns and is often helpful for anxiety, low mood and worry.Finding the best therapeutic approach is part of the work. The therapist will explore a person's goals, preferences and day-to-day challenges, then suggest methods that fit. This is a collaborative process and can be adjusted as progress is made.
Online sessions are offered by video calls, phone, live chat or text-based messaging to give practical flexibility. Video calls allow face-to-face conversation, phone sessions can be easier when bandwidth is limited, and text or chat formats support shorter check-ins and ongoing notes between sessions. These options help people fit therapy around work, caregiving or different time zones while keeping the same therapeutic methods and goals.
Questions people ask about Sarah
What concerns does Sarah focus on?
Sarah supports people with stress, anxiety, depression and trauma, plus parenting, grief and anger. She also works with issues like ADHD, body image and compassion fatigue.
How would she approach therapy?
She uses a mix of approaches including Acceptance and Commitment Therapy, Cognitive Behavioural Therapy, Attachment-Based, client-centred and Dialectical Behaviour Therapy styles. Sessions are collaborative and mix talking with practical exercises.
What is her professional background?
Sarah has nine years of experience in therapeutic practice, offering support across a wide range of mental health and wellbeing concerns.
Where is she based and how is she registered?
She practises in the United Kingdom and is registered with the British Association for Counselling and Psychotherapy, BACP.
Which languages are available for sessions?
Sessions are offered in English, and international clients are accepted.
What formats are available for sessions?
Therapy can take place via video calls, phone sessions, live chat or text-based messaging to suit different needs and schedules.
How much does therapy cost?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then schedule according to therapist availability.
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