Profile / United Kingdom
Sarah "Sian" Welch, BACP
United Kingdom
Counsellor - anxiety and addictions
See online therapy options- Cognitive Behavioral Therapy
- Acceptance and Commitment Therapy
- Work on habits and thoughts
About Sarah
Sarah "Sian" Welch is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) and has 15 years of professional experience. She works with stress, anxiety, addictions, low self-esteem, depression and life changes, among other concerns. Sian sees people who are struggling with relationship and family issues, grief, trauma and intimacy-related matters. Sessions are offered in English and she accepts international clients.
Her approach is practical and direct. She uses Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to help people notice thoughts and habits that get in the way. That often means looking at unhelpful thinking, testing out different reactions, and building small daily routines that make a difference.
Sian draws on her experience across a broad range of issues, including addictions, chronic illness, sleep difficulties and anger. She also works with concerns such as panic attacks, seasonal mood shifts and midlife challenges. The work tends to focus on concrete steps to manage symptoms and improve day-to-day functioning.
Sessions typically involve talking through current problems, setting clear goals, and trying short exercises between appointments. She encourages practical skills you can use at home, such as breathing or behavioural experiments from CBT and values-based actions from ACT.
To begin, clients complete a brief matching questionnaire and then schedule a first session. Costs vary with location and sessions use a subscription that can be cancelled at any time.
How CBT and ACT inform online sessions
CBT focuses on spotting and testing unhelpful thoughts and habits. In online sessions this means discussing specific situations, trying short experiments, and planning actions to try between meetings. This approach is often used for anxiety, panic, sleep problems and low mood.Acceptance and Commitment Therapy (ACT) emphasises noticing thoughts without getting pulled by them, and choosing actions that match personal values. Online work can include brief mindfulness practices and setting small, values-based goals to pursue between appointments. ACT can help with chronic pain, addiction patterns and issues of meaning or motivation.
Finding the right method is part of the work. The therapist will look at the concerns, goals and preferences and agree a practical plan together. That plan may include CBT exercises, ACT-based values work, or a mix of both depending on what fits.
Session formats are not specified in the biography, so confirm the current options before booking. Online sessions can make it easier to fit therapy around work, childcare or other commitments. They also allow shorter check-ins or focused skills work when time is limited.
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 she help with?
She helps people with stress, anxiety, addictions, low self-esteem, depression and coping with life changes. Additional areas include grief, trauma, sleep problems and relationship and family concerns.
How does she use Cognitive Behavioral Therapy?
CBT is used to identify unhelpful thoughts and testing different responses. Sessions often include practical exercises and small behavioural changes to try between meetings.
What is her professional background?
She has 15 years of professional experience working with a range of emotional and behavioural issues. Her practice focuses on practical, skills-based work.
Where is she based and what credential does she hold?
She is based in the United Kingdom and is registered with the British Association for Counselling and Psychotherapy (BACP).
Which languages are supported?
Sessions are offered in English.
Can people outside the UK work with her?
International clients are accepted; confirm any time zone and practical details before booking.
How does payment work?
Cost varies with location and sessions use a subscription that can be cancelled at any time.
What do I need to do to start?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the counsellor supplied to BetterHelp. A registration can be checked with the body that issued it.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.