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Sarah "Sian" Welch

Therapist · United Kingdom

Sarah "Sian" Welch, BACP

Compassionate, practical support for life challenges

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  • Values-led change
  • Practical strategies
  • Experience with addictions

About Sarah

Sarah "Sian" Welch draws on 15 years of practice to support people facing stress, anxiety, addiction and low mood. She works in a straightforward way and believes people know their own story. Sian aims to help clients build on their strengths to move toward a more fulfilling life.

Her approach combines practical thinking with values-led change. She uses Cognitive Behavioral Therapy, which looks at how thoughts, feelings and actions link together, and Acceptance and Commitment Therapy, which helps people notice what matters to them and take small steps in that direction. These methods are used to address things like panic, low self-esteem, grief and compassion fatigue.

Sian has experience supporting people with relationship difficulties, parenting strain, sleeping problems and anger. She also works with issues linked to chronic pain, illness or ageing, and with process and substance addictions. Sessions involve clear goal-setting and practical strategies tailored to each person.

Clients can expect a collaborative style where the counsellor listens and then suggests manageable ways forward. Sian emphasises pacing work to what feels possible, and reviews progress together so plans stay relevant.

She works from the United Kingdom and speaks English. If someone wants to begin, they follow the site's Start Therapy button, complete a short matching questionnaire and then schedule according to the therapist's availability.

Areas of expertise

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCompassion fatigue

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)

Experience

15+ years

Credentials

BACP · United Kingdom

Languages

English

How ACT and CBT can work in online sessions

Sian commonly draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy. CBT focuses on identifying and shifting patterns of thinking and behaviour that keep problems going, which can help with anxiety, panic and low mood. ACT helps people notice what matters to them and take small, value-driven steps even when feelings are difficult, which suits issues like grief, chronic health challenges and low motivation.

Finding the best approach is part of the work together. The therapist will talk with the person about goals and preferences, then suggest techniques to try. Sessions are collaborative and can shift if something isn’t helping, so the plan evolves with feedback.

Confirm the exact online session formats before booking, as the biography does not specify them. Online work can make it easier to fit appointments into everyday life, reduce travel time and allow shorter check-ins when needed. It also means someone can choose options that suit quieter surroundings, lower bandwidth needs, or a meeting that fits a lunch break or caring responsibilities. Registered or accredited professionals offer this flexibility while tailoring pace and tools to the individual’s needs.

Frequently asked questions

What concerns does Sian help with?

She supports people dealing with stress, anxiety, depression and addictions, plus related issues such as low self-esteem, grief, sleeping problems and relationship strain.

What approach does she use in sessions?

Sian uses Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to help people change unhelpful patterns and clarify personal values.

How long has she been practising?

She has 15 years of professional experience working with a range of mental health and life challenges.

Where is she based and what credential does she hold?

She works in the United Kingdom and holds registration with the British Association for Counselling and Psychotherapy, noted as BACP.

Which languages are available for sessions?

Sessions are offered in English.

Can people outside the UK work with her?

She accepts international clients; check the matching process to confirm suitability across time zones and jurisdictions.

How are sessions paid for and what do they cost?

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

How do I begin working with her?

Click the Start Therapy button, complete the short matching questionnaire, then schedule sessions according to the therapist's availability.

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