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Sarah "Sian" Welch

Counsellor profile

Sarah "Sian" Welch, BACP

United Kingdom

BACP counsellor - family and parenting focus

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About

  • ACT and CBT
  • Parenting support
  • Addictions work

About Sarah

Sarah "Sian" Welch is a BACP-registered counsellor based in the United Kingdom with 15 years of professional experience. She works with adults who are struggling with stress, anxiety, addictions, low self-esteem, depression and parenting strains. She also helps people who are coping with relationship and family difficulties, grief, trauma and intimacy-related concerns.

Sian treats each person as the expert in their own life. She looks for strengths clients already have and uses those as a foundation for change. Conversations are straightforward and practical, with a focus on what the client wants to be different in day-to-day life.

Her practice often includes work on coping with life changes, sleeping problems, anger and compassion fatigue. She also supports people facing ageing and geriatric questions, chronic pain or illness, control issues, and struggles with drugs, alcohol or process addictions such as gambling or compulsive behaviours.

Sian draws on approaches from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. That means sessions can include noticing patterns of thinking, trying small behavioural changes, and choosing values-based steps that feel manageable. She adapts techniques to suit what people actually do between sessions.

People seeking help are invited to start with a short matching questionnaire and arrange a first session. Sian works with adults who want practical ways to reduce distress and improve how they cope at home and in their relationships.

How sessions work

How ACT and CBT translate to online sessions

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that reflect their values. It is often used for anxiety, depression, stress and for making changes around parenting or relationships. Cognitive Behavioral Therapy (CBT) focuses on identifying thinking and behaviour patterns that keep problems going and testing small changes to those habits. It is commonly used for anxiety, panic and low mood.

Finding the right approach is part of the work. The therapist will discuss what is most useful based on the person’s goals and preferences, and then try methods together. This is a collaborative process where plans are adjusted if something does not feel helpful.

The biography does not specify session formats, so please confirm the available online options before booking. Online sessions can make it easier to fit therapy into a busy routine, reduce travel time and allow shorter check-ins when days are tight. They also let people use quieter surroundings, turn off video when needed, or choose sessions that suit their energy and schedule. Registered or accredited professionals can help make these practical choices work for everyday life.

Areas of focus

Areas of expertise

Also works with

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

Additional focus areas

Aging and geriatric issuesChronic pain, illness, and disabilityControl issuesDrug and alcohol addictionGuilt and shameIsolation / lonelinessMidlife crisisPanic disorder and panic attacksProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveWomen's issues

Therapeutic approaches

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

Experience

15+ years

Listed in

United Kingdom

Languages

English

Questions

Frequently asked questions

What concerns does she help with at home?

She helps with stress, anxiety, depression, parenting strain, relationship and family issues, addiction, grief and trauma among other concerns.

What style of therapy does she use?

She uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT), focusing on practical steps and noticing thinking patterns.

How much experience does she have?

She has 15 years of professional work experience supporting adults with a wide range of emotional and behavioural concerns.

What are her professional credentials and location?

She is registered with the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.

Can she work with people who live outside the UK?

Yes. She accepts international clients and offers sessions in English.

What session formats are available?

Session formats are not specified in the biography. Please confirm current session options before booking.

How are fees handled?

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

How do I begin working with her?

Start by selecting 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 anyone is in danger, use the crisis numbers.

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Sarah "Sian" Welch

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