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Home Counsellors Sarah "Sian" Welch
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Sarah "Sian" Welch, BACP

Credentials
BACP
Experience
15 years
Practising in
United Kingdom
Languages
English
Sessions
Online only
Client ages
Adults, 18 and over

Works with Stress, AnxietyAddictionsSelf esteemDepressionCoping with life changes

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Sarah "Sian" Welch works from an approach that blends Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. She draws on 15 years of professional experience in the United Kingdom. Her style is practical and down-to-earth.

She aims to help people who feel overwhelmed by stress, anxiety or life changes. Sarah helps people talk through addictions, low self-esteem, depression and motivation struggles. She also supports people facing grief, trauma, intimacy-related issues and sleep difficulties.

Background and approach

Her work addresses anger, compassion fatigue and the strain of parenting and family tensions. Her additional focus includes chronic pain, ageing and geriatric concerns, and illnesses that affect daily life. She also offers help for control issues, guilt and shame, isolation and midlife crises.

Process addictions such as gambling, exercise or porn, plus panic attacks and seasonal affective disorder, are within her scope. Sarah describes therapy as a collaborative effort. She sees clients as experts in their own stories and uses structured techniques alongside values-based work.

Sessions aim to build small practical steps, coping skills and clearer direction rather than long lectures. People who prefer online options can choose video calls, phone sessions, live chat or text messaging. Sessions are arranged through a subscription model that can be cancelled at any time.

To begin, users complete a short matching questionnaire and schedule according to therapist availability.

How ACT and CBT work online

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without being led by them. It focuses on identifying personal values and taking small steps that fit what matters most, which can be useful for anxiety, depression and motivation struggles.

Cognitive Behavioural Therapy looks at links between thoughts, feelings and behaviour. It uses practical exercises and short tasks to change unhelpful patterns and reduce symptoms such as panic attacks, low mood and sleep difficulties.

Finding the right approach is part of the work. The therapist will talk with each person about goals and preferences. Together they decide whether ACT, CBT or a blend will best meet the current needs and life situation.

Online therapy is offered via video calls, phone sessions, live chat or text-based messaging to suit different routines. Video calls let you use visual cues for richer conversation. Phone sessions work well when internet bandwidth is limited. Live chat or messaging can be used for brief check-ins, homework or when shorter, more frequent contact helps maintain momentum.

These formats make it easier to fit therapy around work, caring responsibilities or mobility limits. Registered or accredited professionals can adapt session length and tasks to suit online delivery, helping people make steady progress without travelling to appointments.
What concerns does Sarah focus on?
She works with stress, anxiety, addictions, low self-esteem and depression. Other areas include grief, trauma, intimacy issues, parenting strain and sleep problems.
How would you describe her therapeutic style?
She combines Acceptance and Commitment Therapy with Cognitive Behavioural Therapy. The approach is practical, using values work and skills training to help people make changes.
What is her background and experience?
She has 15 years of professional experience in the United Kingdom. That experience includes work with addictions, chronic pain and midlife concerns.
What credentials and location are listed?
She is registered with the British Association for Counselling and Psychotherapy, shown as BACP, and practices in the United Kingdom.
Which languages and international options are available?
Sessions are offered in English. She accepts international clients for remote sessions.
What session formats does she offer?
Therapy is available by video call, phone session, live chat or text-based messaging. These options allow more flexibility in how people check in and work between meetings.
How is cost handled for sessions?
Cost varies with location and therapist availability. Sessions use a subscription that can be cancelled at any time.
How do I get started with therapy?
Click the Start Therapy button and complete a short matching questionnaire. After that you can schedule sessions based on the therapist's availability.

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Experience
15 years
Registered with
BACP
Languages
English

Contacting Sarah

Sarah takes enquiries through BetterHelp. You answer a few questions about what you are looking for, then arrange sessions if it seems like a fit. Browsing costs nothing and you are not committing to anything by reading this page.

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