- Years in practice
- 15
- Registration
- BACP
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Self esteem
About Sarah
Sarah "Sian" Welch uses an evidence-informed approach to support people facing life's pressures. She combines Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT) to help people manage stress, anxiety and low mood. Sian holds BACP accreditation and brings 15 years of professional experience to her work.
Sian believes clients know their own story and that therapy is a collaborative process. She aims to help people notice what matters to them and build small, steady changes that fit their life.
Background and approach
Sessions are straightforward and practical, with space to talk and time to reflect. Her areas of focus include addictions, sleep difficulties, coping with life changes and managing anger. She also supports people with relationship stress, grief, trauma and intimacy-related issues.
Parenting concerns are included among the topics she addresses in conversation and practical planning. Sian has worked across varied settings over 15 years, which informs a flexible style in sessions. She uses ACT to help people clarify values and accept difficult feelings, and CBT to try out different thinking and behaviour patterns.
Together these approaches aim to reduce overwhelm and increase choice in everyday life. People who work with Sian can expect calm, direct conversation and practical tools to use between sessions. She encourages self-compassion and steady progress rather than quick fixes.
Where needed, she helps plan manageable steps to get through difficult moments.
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
- Addictions
- Self esteem
- Depression
- Coping with life changes
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Compassion fatigue
- Aging and geriatric issues
- Chronic pain, illness, and disability
- Control issues
- Drug and alcohol addiction
- Guilt and shame
- Isolation / loneliness
- Midlife crisis
- Panic disorder and panic attacks
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Women's issues
Approaches Sarah lists
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
How ACT and CBT work online with this therapist
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without letting them dictate actions. It focuses on clarifying personal values and taking small steps that match those values, useful for anxiety, low mood and life transitions. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and supports practical experiments to change unhelpful patterns, which can help with panic, depression and sleep issues.Finding the right approach is part of the therapeutic process. The therapist will work collaboratively to test methods and adapt them to the client's needs, goals and preferences. This means trying different techniques and choosing what feels most helpful together rather than committing to one method from the start.
Online therapy options include video calls, phone sessions, live chat and text-based messaging. Video calls allow face-to-face conversation from different locations, phone sessions can be easier when bandwidth is limited, live chat suits quick check-ins and text messaging supports ongoing reflection between sessions. These formats increase flexibility and make it easier to fit therapy around work, childcare and daily life while keeping the focus on progress and practical skills.
Questions people ask about Sarah
What issues can this counsellor help with?
She supports people with stress, anxiety, depression and addictions, plus sleep problems, grief and trauma. Parenting concerns and relationship stress are also areas she addresses.
What is the therapist's style in sessions?
Sessions are collaborative and practical, combining Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. The focus is on clear steps and noticing what matters to the client.
How much experience does she have?
She has 15 years of professional work experience in the United Kingdom. That background includes work across different settings which shapes a flexible approach.
What credentials and location are provided?
She is registered with the British Association for Counselling and Psychotherapy, shown as BACP, and practises in the United Kingdom.
Which languages are sessions offered in?
Sessions are offered in English. International clients are accepted.
What formats are available for sessions?
Therapy can be delivered by video calls, phone sessions, live chat or text-based messaging. These options let people choose what fits their day and communication needs.
How are fees and payments handled?
Costs vary with location and therapist availability. Sessions use a subscription model that can be cancelled at any time.
How do I begin working with this counsellor?
Start by selecting the Start Therapy button and completing a short matching questionnaire. After that you can schedule sessions according to the therapist's availability.
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