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 practical conversation and structured techniques to help people manage stress, anxiety and depression. Sian also supports people facing addictions, relationship strain, parenting challenges and trauma and abuse concerns.

She works from the view that each person knows their own story. Sessions focus on what matters to the client and build on existing strengths.

Background and approach

Sian offers clear, simple tools to help with confidence, motivation and coping skills. Her practice blends Cognitive Behavioural Therapy and Acceptance and Commitment Therapy. CBT helps people spot unhelpful thoughts and change patterns that keep problems going.

ACT supports people to clarify values and take meaningful steps even when difficult feelings remain. Over fifteen years she has helped people with grief, sleeping problems, anger and compassion fatigue. She also addresses longer-term concerns such as chronic pain or illness, midlife transitions and issues linked to substance or process addiction.

Sessions are offered in English and can be arranged for international clients. Sian works online and by phone to make sessions fit around practical life commitments. She aims for calm, focused sessions that leave people with next-step actions.

Background and approach: Sian is registered with the British Association for Counselling and Psychotherapy, BACP. Her style is straightforward and collaborative. New clients complete a short matching questionnaire and then schedule sessions according to the therapist's availability.

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.

How ACT and CBT work in online therapy

Acceptance and Commitment Therapy, ACT, helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on clarifying what matters to someone and taking small actions that align with those values, which can help with issues like anxiety, depression and trauma-related avoidance.

Cognitive Behavioural Therapy, CBT, aims to identify and change unhelpful thinking and behaviour patterns. It uses practical exercises and step-by-step techniques to reduce symptoms such as panic, low mood or poor sleep and to improve daily functioning.

Choosing the right approach is part of the work. Sian will collaborate with each person to decide which methods fit their goals and preferences. That may mean combining ACT and CBT tools and adjusting plans as progress is reviewed.

Online sessions are offered by video, phone, live chat or text-based messaging to increase flexibility. Video calls allow face-to-face discussion and practical exercises, phone sessions can be easier when bandwidth is low, and text or chat options suit shorter check-ins or people who prefer writing. These formats make it simpler to schedule sessions around work, family and other commitments, and to maintain continuity while travelling or living overseas.

Frequently asked

What problems does Sian commonly help with?

Sian works with stress, anxiety, depression and coping with life changes. She also helps people facing addictions, grief, relationship or intimacy-related concerns and trauma and abuse.

What is her therapeutic style like?

Her approach is practical and collaborative. She uses structured techniques alongside conversational work to build coping skills and clarify goals.

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 location are listed for this counsellor?

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

Which languages are supported?

Sessions are offered in English and she accepts international clients.

What session formats are available?

Work is available via video calls, phone sessions, live chat or text-based messaging to suit different needs and schedules.

How is cost handled for sessions?

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

How do I begin working with Sian?

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