Sarah "Sian" Welch
Values-led counselling for life changes
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About Sarah
Sarah "Sian" Welch works from practical, values-based approaches to help people make changes that matter. She draws on 15 years of experience to support people facing stress, anxiety, depression and addictions. Sian meets people where they are and helps them take small, steady steps toward clearer goals and better day-to-day coping.
Her approach blends Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT). ACT helps people notice what matters most to them and commit to actions that reflect those values.
Background and approach
CBT focuses on the link between thoughts, feelings and behaviour, and gives simple tools to test unhelpful thinking. Sian has worked across many areas over her career. She helps with low self-esteem, sleep problems, grief and trauma responses, and intimacy-related worries.
She also supports people dealing with parenting strain, anger, compassion fatigue and relationship stress. Additional focus areas include ageing and geriatric concerns, chronic illness and disability, control issues, and substance or process addictions such as drug and alcohol problems or problematic gambling and internet use. She also addresses panic attacks, Seasonal Affective Disorder and midlife transition issues.
Sian is a BACP member, practising in the United Kingdom and offering sessions in English. To begin, people can follow the Start Therapy steps to match with her and arrange sessions according to her availability.
At a glance
- Years practising
- 15
- Registered with
- BACP
- Registration number
- 26982
- Languages
- English
- Approaches include
- Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT)
- How sessions happen
- Online, by video, phone or messages
Details are as listed on Sarah's public professional profile. You can check any number with the professional body.
What Sarah works with
Everything Sarah lists, in their own terms.
- Stress, Anxiety
- Addictions
- Self esteem
- Depression
- Coping with life changes
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Compassion fatigue
- Aging and geriatric issues
- Chronic pain, illness, and disability
- Control issues
- Drug and alcohol addiction
- Guilt and shame
- Isolation / loneliness
- Midlife crisis
- Panic disorder and panic attacks
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Women's issues
Approaches Sarah lists
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
How Sarah works online
Choosing the right approach is part of the work. The therapist will talk with the person about goals, daily challenges and preferences, and together they will decide whether ACT, CBT or a mix of both feels most useful. That choice can change as therapy progresses and new priorities emerge.
Online therapy can make it easier to fit sessions into a busy life, for example by reducing travel time or allowing shorter check-ins during a work break. It can also help when quieter surroundings are easier to arrange or when not being on camera is preferred. The original biography does not list specific session formats, so please confirm the available options before booking. Registered or accredited professionals and therapists offer online care that focuses on making therapy accessible and practical for everyday life.
Questions and answers
What kinds of concerns does she help with?
She supports people with stress, anxiety, depression, addictions and low self-esteem, plus issues such as grief, trauma, sleep problems and intimacy-related worries.
What is her therapeutic style?
She uses Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to combine values-based action with practical thought-behaviour tools.
How much experience does she have?
She has 15 years of professional experience working with a wide range of emotional and behavioural concerns.
What credentials and region apply?
She is a member of 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 and she is able to work with international clients.
What session formats are available?
The original biography does not specify session formats; please confirm the current session options before booking.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
How do I begin working with her?
Use the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to the therapist's availability.
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