- CBT and ACT informed
- 15 years experience
- Works in English
About Sarah
Sarah "Sian" Welch uses practical, evidence-based approaches to help people manage anxiety and panic. She combines straightforward therapy with compassion and clear steps so people can feel less overwhelmed. Sian has 15 years of professional experience working in the UK and brings a calm, steady presence to sessions.
She believes people know their own story and that therapy is a collaborative process. Sessions focus on small, doable steps that build confidence and reduce distress. Sian draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help people notice thoughts, test unhelpful patterns, and practice actions that match their values.
Her work covers a wide range of concerns including stress, addiction, low mood, relationship problems, grief, trauma, and issues with sleep and anger. She also supports people facing chronic illness, midlife change, isolation and seasonal low mood. Panic disorder and panic attacks are listed among her focus areas and are addressed alongside other anxiety concerns.
Sessions aim to be practical and grounded. People can expect to talk through recent difficulties, try new coping strategies, and set realistic goals between sessions. Sian helps people break problems into manageable pieces and track what helps over time.
If someone prefers straightforward language and hands-on techniques, Sian offers that style of counselling. The emphasis is on building skills, strengthening resilience, and finding ways to move forward in everyday life.
How ACT and CBT translate to online counselling
Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting swept away by them. It focuses on identifying what matters to someone and taking steps towards those values even when anxiety is present. Cognitive Behavioral Therapy, CBT, looks at the link between thoughts, feelings and actions and provides simple tools to test and change unhelpful thinking patterns and behaviours.Finding the right approach is part of the work. The therapist will discuss goals and preferences and try approaches that fit the person's needs. Decisions about methods are collaborative and adjusted as progress is made.
The original profile does not list specific online formats, so please confirm available session types before booking. Online sessions can make it easier to fit counselling into busy days, reduce travel time and allow for shorter check-ins when needed. They also allow people to continue work when life or location makes in-person meetings difficult. Registered or accredited professionals and therapists commonly adapt ACT and CBT techniques to remote sessions, using exercises, guided practices and homework that suit the online setting.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What kinds of problems does this counsellor help with?
She supports people with stress, anxiety, addictions, low mood and relationship concerns, among other issues. Panic disorder and panic attacks are included in her stated focus areas.
What is her therapeutic style like?
Her approach is practical and collaborative, using clear language and steps. Sessions focus on noticing patterns, trying coping strategies, and setting achievable goals.
How much experience does she have?
She has 15 years of professional experience working in the United Kingdom. That experience comes from one-to-one therapeutic work across a range of concerns.
What credentials and location are listed?
She is a member of the British Association for Counselling and Psychotherapy, recorded as BACP, and practices in the United Kingdom.
Which languages are sessions offered in?
Sessions are offered in English and she accepts international clients who can work in that language.
What session formats are available?
The original biography does not specify exact session formats. Please confirm current session options with the service before booking.
How does cost and payment work?
Cost varies with location and therapist arrangements; sessions use a subscription model that can be cancelled at any time. Exact fees should be checked during the booking process.
How do I begin working with this counsellor?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.