Sarah "Sian" Welch

• Stress and anxiety
• Addictions and recovery
• ACT and CBT methods

About Sarah

Sarah "Sian" Welch helps people work on stress, anxiety, addictions, low self-esteem and depression using a strengths-based, client-centred approach. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has 15 years of professional experience.

She focuses on practical ways to manage difficult feelings and habits. Sessions often involve looking at patterns of thought and behaviour and finding small steps to change what feels unhelpful. She encourages people to draw on their existing strengths while trying new ways of coping.

Sian uses elements from Acceptance and Commitment Therapy, which helps people notice thoughts and choose actions that fit their values. She also works with Cognitive Behavioral Therapy techniques to identify unhelpful thinking and try out alternative ways of responding.

Her work covers a wide range of concerns such as relationship and family stress, grief, trauma and abuse, intimacy-related issues, sleeping difficulties, parenting strain, anger and compassion fatigue. She also supports people dealing with chronic illness or pain, ageing and geriatric issues, and substance and process addictions.

People describe practical conversations in sessions that focus on next steps rather than long explanations. Sian helps clients consider options and practise new skills between sessions so change can carry over into daily life.

How ACT and CBT are used in online sessions

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting caught up in them, and then choose actions that reflect what matters most. It is often used for anxiety, low mood and life changes.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behaviour patterns. It is commonly used for anxiety, depression, panic and problems with sleep or addictive behaviours.

Finding the right approach is part of the work. The counsellor will discuss a client's goals and preferences and make decisions together about which techniques to try first. This collaborative planning can change as progress is made and new issues arise.

Confirm the available session formats before booking, because the biography does not list specific options. Online sessions can make it easier to fit counselling into a busy week, reduce travel time and allow shorter check-ins when needed. They can also suit people who prefer not to use video, as different formats have different practical benefits.

Topics Sarah lists

• Stress and 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 and loneliness
• Midlife crisis
• Panic disorder and panic attacks
• Process addictions
• Seasonal Affective Disorder (SAD)
• Self-love
• Women's issues

Ways of working

• Acceptance and Commitment Therapy (ACT)
• Cognitive Behavioural Therapy (CBT)

Questions about Sarah

Does she work with anxiety?

Yes. Anxiety and panic attacks are listed among the concerns she addresses.

What kind of counselling does she offer?

She uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) approaches in her work.

How long has she been practising?

She has 15 years of professional experience working with clients.

Is she a registered counsellor in the UK?

She is listed with the British Association for Counselling and Psychotherapy (BACP).

Can I see her if I live outside the UK?

Yes. She accepts international clients and offers sessions in English.

What session formats are available?

Please confirm current session options before booking, as the biography does not specify which formats are offered.

How much do sessions cost?

Cost varies with location and sessions use a subscription that can be cancelled at any time.

How do I get started?

Select the Talk to a counsellor online button, complete a short matching questionnaire, and schedule a first session.