Sarah "Sian" Welch, BACP

Sarah "Sian" Welch is a counsellor with 15 years of professional experience based in the United Kingdom. She works with people facing stress, anxiety, depression and problems with addictions. Sian encourages clients to use their own strengths as a foundation for change and offers steady support through difficult life moments.

Sian’s approach is practical and collaborative. She listens to each person’s story and helps them identify small, manageable steps forward. Sessions focus on what matters most to the individual, whether that is improving sleep, managing panic, or rebuilding self-esteem.

She draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to help people notice unhelpful patterns and try different ways of responding. This includes learning techniques to manage thoughts, build healthy habits, and take values-led action in daily life.

Sian has worked across a range of issues including grief, trauma and abuse, intimacy-related concerns, parenting strain and compassion fatigue. She also supports people dealing with chronic pain, ageing-related worries, seasonal mood changes and midlife crisis challenges.

Her manner is calm and down-to-earth. She encourages honest conversation and practical planning. To begin, people complete a short matching questionnaire and then schedule sessions according to availability.

How ACT and CBT can shape online counselling

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for stress, midlife questions and long-term struggles where people want clearer direction. Cognitive Behavioural Therapy (CBT) looks at links between thoughts, feelings and behaviours and teaches practical strategies to change unhelpful patterns. CBT is often used for anxiety, panic and low mood.

Finding the right approach is part of the work together. The counsellor will discuss what matters to the person and try methods that match their goals and preferences. This is a collaborative process and plans can change as patterns and needs become clearer.

Confirm the current session formats before booking because the biography does not list them. Online therapy can make it easier to fit sessions into a busy life, for example by saving travel time or allowing shorter check-ins during a lunch break. It also lets people use a counsellor who is based elsewhere, including international options. Registered or accredited professionals can adapt ACT and CBT tools to online conversations, helping people practise new skills between sessions and bring changes into everyday routines.