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- ACT methods
- CBT techniques
- Stress and grief
About Sarah
Counsellor (BACP), 15 years' experience. Sarah "Sian" Welch helps people with stress, anxiety, addictions, self-esteem, depression and life changes using Acceptance and Commitment Therapy and Cognitive Behavioral Therapy.
Sian starts by listening to each person's story and identifying what matters most to them. She works with strengths people already have, and helps them notice patterns that get in the way. Sessions focus on practical steps and clearer choices rather than jargon or lengthy theory explanations.
She regularly supports people dealing with relationship and family tensions, grief and trauma, sleep problems, parenting pressures and anger. Sian also addresses longer-term issues such as chronic pain or illness, ageing and geriatric concerns, and process or substance addictions. She pays attention to guilt, shame, isolation and midlife transitions as part of a wider picture.
Her approach draws on Acceptance and Commitment Therapy to clarify values and build psychological flexibility. Cognitive Behavioral Therapy is used to spot thoughts and behaviours that maintain anxiety or low mood, and to try experiments that change daily routines. These methods are applied in straightforward, step-by-step ways.
Sessions are focused on what a person wants to change next and on simple tools to try between meetings. People are encouraged to set realistic goals and to notice small shifts over time. To begin, follow the service's matching and booking steps and schedule a first session.
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How ACT and CBT shape online work
Acceptance and Commitment Therapy (ACT) helps people identify what matters to them and to practise small, value-driven actions despite difficult feelings. It is useful for anxiety, low mood and life transitions where clarity about priorities matters.Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and routines, testing them with short experiments, and building new habits. It is commonly used for panic, persistent worry, low mood and sleep disturbance.
Choosing the right approach is a collaborative process. The therapist will discuss goals, preferences and practical needs in early sessions and then suggest ways of working that fit. Clients are invited to try methods and give feedback so the plan can be adjusted together.
The biography does not list specific session formats, so confirm the available options before booking. Online work can help fit therapy into busy lives by reducing travel, allowing shorter check-ins when needed, and making it easier to schedule appointments around work or caregiving. Registered or accredited professionals can use these sessions to assign short exercises, review practice between meetings and keep momentum while people try new strategies.
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Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
United Kingdom
Languages
English
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Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, addictions, self-esteem, depression and coping with life changes. The list also includes grief, trauma, sleep issues, parenting strain and anger.
What therapeutic approaches are used?
Her work draws on Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). These are used in practical, step-by-step ways to address thoughts, behaviours and valued actions.
How much clinical experience does she have?
She has 15 years of professional experience in the UK. That period includes work across anxiety, addictions and mood concerns.
What credential and location are listed?
She is registered with the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.
Which languages are sessions offered in?
Sessions are offered in English. International clients are accepted.
What session formats are available?
The biography does not specify session formats; please confirm current session options before booking.
How does payment and cost work?
Cost varies with location and sessions use a subscription that can be cancelled at any time. Exact pricing depends on the chosen subscription tier and region.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.