About Sarah
Sarah Mac Farlane is a counsellor who works with people facing stress, anxiety, depression and trauma. She meets individuals who are struggling with low self-esteem, grief, anger and the everyday weight of life changes. Sarah also supports people dealing with ADHD-related difficulties, eating concerns, parenting strain and LGBT issues.
Sarah practises from an integrative stance, drawing on different approaches to suit each person. She uses Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based methods alongside person-centred listening.
How Sarah works
Sessions focus on clear, practical steps alongside time to make sense of feelings. Clients can expect straightforward conversations and tools to try between sessions. Sarah aims to help people notice patterns, test small changes and build skills that fit their life.
She values a calm, accepting tone and treats people as the experts in their own story. Sarah has nine years of professional experience and holds BACP accreditation. She works with people on a range of concerns including compassion fatigue, chronic illness and relationship communication problems.
Her background includes work across stress, trauma and mood issues. Sarah offers therapy to people in the United Kingdom and accepts international clients who use online formats. Sessions can take place by video call, phone, live chat or text-based messaging.
To begin, a short matching questionnaire is completed and appointments are scheduled afterwards.
Sarah lists 17 ways of working on the entry:
- 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
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
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
Training and background
| Register | BACP |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Sarah’s approaches translate to online therapy
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then commit to actions that match their values; it can be useful for anxiety, depression and life changes. Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and behaviours and uses practical exercises to change unhelpful patterns, which helps with phobias, intrusive thoughts and low mood. Attachment-Based Therapy explores patterns in relationships and how early bonds affect current feelings and reactions, which is useful for communication problems and attachment issues.Deciding which approach to use is part of the work. Sarah will collaborate with each person to agree which methods fit their goals and preferences, and she will adjust as progress is made. The first sessions often focus on identifying priorities and testing small changes together.
Online therapy offers flexibility and practical benefits. Video calls let people connect face to face without travel. Phone sessions can be easier when bandwidth is low or when a shorter check-in is needed. Live chat and text-based messaging suit those who prefer writing or need a way to reflect between sessions. These formats make it simpler to fit therapy around work, family and other commitments while using the chosen therapeutic approaches.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
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Common questions
What concerns does Sarah support people with?
How would you describe her therapeutic style?
What experience does she bring?
What are her credentials and where is she based?
Can sessions be in languages other than English or span countries?
Which session formats are available?
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What is the process to start working together?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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