About Sarah
Sarah "Sian" Welch uses practical, evidence-informed methods to help people manage worry, low mood and addictive behaviour. She offers clear, steady support for everyday struggles like stress, anxiety, sleep problems and low self-esteem. Sarah has 15 years of professional experience and is listed with the British Association for Counselling and Psychotherapy, BACP.
She blends approaches to focus on what matters most to each person. Sessions often centre on learning skills that reduce unhelpful thoughts and build meaningful action.
How Sarah works
Sarah aims to make change manageable by breaking problems into small, practical steps people can use between sessions. Common areas she helps with include depression, addiction and coping with big life changes. She also works with issues such as grief, trauma, intimacy-related concerns, anger and compassion fatigue.
Additional areas of focus include chronic pain and illness, midlife transitions, panic attacks, seasonal mood change and women's issues. Sarah frames therapy as a collaborative process. She listens for strengths and priorities, then offers tools from evidence-based approaches like Cognitive Behavioral Therapy and Acceptance and Commitment Therapy.
These are explained in plain language and practised together so new ways of coping become more natural. Sessions are offered in English and Sarah sees people across the United Kingdom and internationally. She runs online appointments by video, phone, live chat or messaging so people can choose the format that fits their day-to-day life.
Sarah lists 2 ways of working on the entry:
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
- 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
Training and background
| Register | BACP |
|---|---|
| Years in practice | 15 |
| 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
Using ACT and CBT in online therapy
Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take action that fits those values. It encourages noticing difficult thoughts and feelings without letting them dictate behaviour, which can help with anxiety, depression and addictive urges.Cognitive Behavioral Therapy, CBT, focuses on the links between thoughts, feelings and actions. It teaches practical techniques to challenge unhelpful thinking and build healthier habits, useful for panic, low mood, and stress.
Finding the best approach is part of the work. The therapist will listen to your goals and preferences and try methods that suit your situation. Together you review what helps and adapt the plan as you go, so therapy stays relevant and doable.
Online sessions are offered by video call, phone, live chat or text messaging to give flexibility. Video lets you work face to face when needed, phone can be easier when bandwidth is limited, chat or messaging support shorter check-ins or ongoing reflections. These options make it easier to fit therapy around work, caring duties or travel and to keep practising skills between sessions.
Start online instead of waiting
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Common questions
What kinds of problems does Sarah help with?
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Where is Sarah based and what credential does she hold?
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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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