Sarah "Sian" Welch, BACP

Sarah "Sian" Welch is a UK-registered therapist with 15 years of professional experience supporting people through anxiety, stress, addiction and depression. She works with clients who are struggling with motivation, self-esteem and confidence, and she helps them identify and use the strengths they already have to move toward a more fulfilling life. Sarah recognises that taking the first step toward change takes courage, and she offers steady, compassionate support throughout the process.

Sarah practises as a therapist registered with the BACP - the British Association for Counselling and Psychotherapy - which indicates adherence to recognised professional standards and an ongoing commitment to best practice. Her approach centres on treating each person as the expert of their own story while collaborating to set realistic goals and build practical coping strategies. She aims to create a safe, respectful space where clients can explore challenges, develop resilience and rebuild confidence.

Whether someone is facing long-standing difficulties or a recent life transition, Sarah focuses on practical, person-centred work that honours individual values and priorities. Her goal is to help clients take manageable steps toward greater wellbeing and more satisfying relationships and daily life.

Working with ACT and CBT in online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and feelings without being ruled by them, so they can focus on actions that reflect their values. It is often useful for anxiety, low mood and patterns of avoidance where clients want to build a more meaningful daily life.

Cognitive Behavioral Therapy (CBT) teaches practical techniques to identify and change unhelpful thinking and behaviour patterns. CBT can be effective for anxiety, depression, panic and sleep problems by breaking cycles that maintain distress and developing new coping skills.

Finding the right approach is part of the therapeutic journey. Sarah will work collaboratively with clients to explore which methods fit their needs, goals and preferences, and she will adjust the plan as work progresses to ensure the approach feels helpful and manageable.

Online therapy via video calls, phone sessions, live chat or text-based messaging offers flexibility for people with busy schedules, mobility limits or those living at a distance. These options make it easier to maintain continuity of care and to access registered professionals from home or during travel, while supporting a consistent, goal-focused therapeutic process.