About Sarah
Sarah "Sian" Welch is a counsellor with 15 years of professional experience based in the United Kingdom. She holds BACP registration, and she focuses on helping people who are feeling stressed, anxious, or low in confidence. Sian offers steady, practical support for people facing addiction, depression, grief, and relationship worries.
She works in a straightforward way that aims to build on each person's strengths. Conversations centre on what matters to the client now and on small, doable steps forward.
Background and approach
Sian encourages people to notice what gets in the way of daily life and to try new ways of responding to old patterns. Sian uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy as tools in sessions. These approaches help people recognise unhelpful thoughts and make clearer choices about values and actions.
She adapts techniques to match each person's needs rather than following a one-size-fits-all plan. Her experience includes helping people with panic, sleep difficulties, compassion fatigue, and midlife or life-stage transitions. She also supports people dealing with chronic pain, long-term illness, and issues such as guilt, shame, or isolation.
The focus is on practical coping and rebuilding a sense of agency. Sessions aim to be collaborative and paced to the individual. Sian encourages questions and checks progress regularly so the work stays relevant.
She sees international clients and conducts sessions in English.
How ACT and CBT inform online therapy
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and feelings without getting stuck in them. It supports clearer choices about what matters and encourages small committed actions in daily life, which can suit anxiety, panic and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings and behaviours and uses practical exercises to change patterns that feed anxiety or low mood.Finding the right approach is part of the work. The therapist will discuss your goals and preferences and try methods that fit your needs. That means sessions may draw on ACT, CBT or a mixture, and the plan is adjusted as progress is made.
Online sessions are offered by video call, phone, live chat or text-based messaging to give flexibility. Video calls are useful for a therapy-style conversation with visual cues, phone sessions work well when bandwidth is limited, and messaging or live chat can suit brief check-ins or people who prefer not to use audio. These options make it easier to fit therapy around work, caring duties or mobility issues and allow a steady therapeutic relationship without travel.
Questions people ask
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What this therapist works with
Most often
Also listed
- Aging and geriatric issues
- Anger management
- Chronic pain, illness, and disability
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Midlife crisis
- Panic disorder and panic attacks
- Parenting issues
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sleeping disorders
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- Languages
- English
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