Registration on file

Sarah "Sian" Welch, BACP

Sarah "Sian" Welch is a counsellor with 15 years of professional experience based in the United Kingdom.

About Sarah

Sarah "Sian" Welch is a counsellor with 15 years of professional experience based in the United Kingdom. She uses straightforward, practical conversations to help people who are feeling overwhelmed by stress, anxiety, depression, addiction or low self‑esteem. She believes clients know their own stories and brings a calm, supportive presence to each session.

Sian draws on approaches such as Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT) to shape sessions.

Background and approach

She helps people notice unhelpful patterns, try small changes and focus on what matters to them. Sessions aim to be practical and tailored to each person’s situation. Many people see her for life changes, relationship and intimacy concerns, grief, trauma and parenting pressures.

She also supports those facing chronic pain or long term illness, midlife challenges, and issues linked to addiction and compulsive behaviours. Sleep problems, panic attacks and seasonal low mood are additional areas she addresses. Sian works in English and is available to international clients.

She has experience supporting people through guilt, shame, isolation and compassion fatigue, and often combines short term skill building with longer conversations about values and goals. Her style is down‑to‑earth and collaborative. She encourages clear goals, practical steps and regular review so progress is visible.

Taking the first step can feel hard, and she aims to make the process straightforward and respectful.

Details from the counsellor's public professional profile · registration number listed

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Registration

Body	Registration number	Expires
BACP	26982	June 2026

Registration details are as listed on the counsellor's public profile. You can check any number with the registering body.

Check on the BACP register

Sessions and payment

Sessions are held online through our partner platform, by video, phone or messaging depending on the counsellor.

Cost Costs are shown on the partner platform before you commit. If cost is a concern, ask about reduced-fee options.

Focus areas and approaches

Everything Sarah lists on their public professional profile, 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

Ways of working Sarah names

Naming an approach is not evidence of training in it. This directory copies what each counsellor lists and does not check training records.

Practical approaches for online counselling and support

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting swept away by them. It focuses on identifying values and taking small, meaningful actions even when emotions are difficult. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and teaches skills to reduce anxiety, lift mood and change unhelpful habits.

Finding the right approach is a shared process. The therapist will talk through goals, try different techniques and agree what fits best for the person’s needs and preferences. Sessions often mix skills practice with reflective conversation so adjustments can be made as things move forward.

Online therapy offers flexibility for busy lives. Video calls allow face‑to‑face conversations when visual cues help. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging suit short check‑ins, brief exercises or people who find typing helps them think things through. These options make it simpler to fit support around work, caregiving or mobility limits while keeping focus on practical steps and lasting change.

Frequently asked

What kinds of problems does Sian help with?

Sian supports people with stress, anxiety, depression, addictions and low self‑esteem. She also works with grief, trauma, relationship strain, sleep problems and parenting pressures.

What is her therapeutic style like?

Her work is practical and collaborative with an emphasis on small changes and clear goals. She combines compassionate listening with exercises drawn from ACT and CBT.

How much experience does she have?

She has 15 years of professional experience working with a broad range of mental health and life issues across the United Kingdom.

Where is she based and what credentials does she hold?

She is based in the United Kingdom and is listed with the British Association for Counselling and Psychotherapy, shown as BACP.

Which languages are supported and can international clients join?

Sessions are offered in English and Sian accepts international clients.

What session formats does she offer online?

She works via video calls, phone sessions, live chat and text‑based messaging to fit different needs and schedules.

How are sessions paid for and what does it cost?

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

How do I begin working with her?

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