About Sarah
Sarah Mac Farlane is a counsellor based in the United Kingdom who focuses on anxiety and related concerns. She draws on nine years of experience and a warm, down-to-earth approach to help people who feel overwhelmed by stress, worry or life changes. She works with people coping with grief, low mood, intrusive thoughts, anger and difficulties linked to trauma or abuse.
Sarah uses practical talking and pacing to make sessions feel manageable.
Background and approach
She asks about what is happening day to day and looks for small changes that make a real difference. Conversations cover ways to manage anxious thoughts, build steadier routines and improve relationships with yourself and others. Her practice includes several well-known methods such as cognitive behavioural techniques, acceptance and commitment ideas and client-centred listening.
These give a toolbox of options to tackle symptoms, unhelpful thinking and patterns that keep problems going. She also draws on attachment-informed perspectives and skills from dialectical behaviour work when those ideas fit. Sarah holds a BACP accreditation which indicates registration with the British Association for Counselling and Psychotherapy.
She offers sessions in English and works with international clients as needed. Therapy can be offered by video call, phone, live chat or text messaging to suit different needs. To begin clients follow a short matching questionnaire and then schedule sessions.
Sarah aims to help people take small, steady steps toward feeling more in control and more able to cope with life’s demands.
Approaches that translate well to online therapy
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose values-based actions. It is useful for anxiety, low mood and coping with life changes. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing them with practical exercises and experiments to reduce anxiety and phobias. Client-Centred Therapy centres the conversation on the client's experience, offering empathic listening and reflection to strengthen self-understanding and confidence.Finding the right approach is part of the work. Sarah will talk with each person about goals and preferences, then suggest methods to try. That collaborative process means techniques can be blended and adjusted if something does not feel helpful.
Online therapy offers flexibility and fits different routines. Video calls let people use visual cues and longer sessions, while phone sessions can be easier when bandwidth is low. Live chat and text-based messaging work well for short check-ins, ongoing journalling or practical coaching between calls. These options make it easier to fit therapy around work, travel or caring responsibilities and to continue progress from wherever someone is located.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- 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
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- 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
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior 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
- Experience
- 9 years
- Licensed
- Languages
- English
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