Sarah "Sian" Welch
Compassionate therapy focused on practical change
About Sarah
Sarah "Sian" Welch uses practical, evidence-informed approaches to help people manage difficult emotions and life changes. She draws on 15 years of experience in the United Kingdom and works with concerns such as stress, anxiety, addictions, low self-esteem and depression. Sian believes people know their own story and helps them find workable steps forward.
Sian often combines Acceptance and Commitment Therapy with Cognitive Behavioural Therapy techniques to build clearer thinking and steadier action.
Background and approach
Sessions focus on small, achievable changes that fit into everyday life. She encourages clients to notice what matters to them and try out new behaviours that reflect those values. Clients come for many reasons, including grief, trauma, relationship and intimacy-related issues, sleep problems, parenting strain and anger.
She also supports people facing chronic illness, ageing concerns, substance and process addictions, panic and seasonal mood shifts. Her approach is adaptable to the problem at hand and the person in front of her. Sian works in plain language and aims to make sessions feel straightforward rather than academic.
She helps people build skills for coping, reduce unhelpful thought patterns and practice actions that lead to small improvements. Progress is tracked in realistic steps so changes are sustainable. She is registered with the British Association for Counselling and Psychotherapy, BACP.
Sessions are offered in English and can be arranged online by following the platform's sign-up and matching process.
What Sarah works with
How Sarah works
Listed by Sarah among the ways they work.
Listed by Sarah among the ways they work.
Sessions & fees
Using ACT and CBT in online counselling
Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small steps towards those values even when feelings are difficult. It focuses on noticing thoughts and feelings without getting stuck, and practising actions that match personal priorities. Cognitive Behavioural Therapy, or CBT, looks at the links between thoughts, feelings and behaviour and teaches practical skills to change unhelpful patterns and manage symptoms like anxiety or low mood.Choosing the right approach is part of the work. Sian will discuss goals and preferences with each person and together they will decide which methods to try first. The process is collaborative and flexible, with an emphasis on what feels useful in day-to-day life.
Online therapy offers practical benefits for busy or geographically spread people. Video calls allow face-to-face conversation and visual cues, phone sessions need less bandwidth and can fit into a short break, while live chat or text-based messaging work well for quick check-ins or when writing feels easier. These options make it simpler to keep therapy consistent and to fit sessions around work, family and health demands.
| Session length | Typically 50 minutes |
|---|---|
| Client ages | Adults, 18 and over |
| Fees | Subscription via BetterHelp, cancel anytime |
| Insurance | Not billed directly |
Questions people ask
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Areas of focus
What this therapist works with
Most often
Also listed
- Aging and geriatric issues
- Anger management
- Chronic pain, illness, and disability
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Midlife crisis
- Panic disorder and panic attacks
- Parenting issues
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sleeping disorders
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 15 years
- Registered with
- BACP
- Languages
- English
