Sarah "Sian" Welch, BACP
Sarah "Sian" Welch works from an approach that focuses on values, practical skills and small doable steps.
About Sarah
Sarah "Sian" Welch works from an approach that focuses on values, practical skills and small doable steps. She uses methods that help people notice what matters to them, then take actions that match those priorities. She keeps language simple and aims for sessions that feel straightforward and useful.
Sarah has 15 years of professional experience in the United Kingdom. Over that time she has helped people facing stress, anxiety and depression.
Background and approach
She also supports people dealing with addictions, low self-esteem and motivation problems. Her work covers relationship and intimacy-related concerns, grief and trauma, and the practical strains of parenting and caring roles. She also addresses sleep problems, anger, compassion fatigue and isolation.
Additional focus areas include ageing and geriatric issues, chronic pain and illness, and process addictions such as gambling or problematic sexual behaviours. Sarah is a member of the British Association for Counselling and Psychotherapy, BACP. She combines approaches that teach new thinking habits with techniques that build commitment to change.
Sessions are intended to be collaborative and goal-focused so progress can be seen in day-to-day life. People who book with Sarah can expect clear explanations, practical homework and a steady, supportive pace. She encourages clients to bring their own priorities to sessions and to notice the small shifts that add up to bigger change.
To begin a working relationship clients complete a short matching questionnaire and then schedule sessions that suit their availability. The emphasis is on finding sensible, manageable steps that fit each person's life.
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.
Sessions and payment
Sessions are held online through our partner platform, by video, phone or messaging depending on the counsellor.
Costs are shown on the partner platform before you commit. If cost is a concern, ask about reduced-fee options.
Focus areas and approaches
What Sarah works with
Everything Sarah lists, 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
Approaches Sarah lists
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
Online support
Cognitive Behavioural Therapy (CBT) teaches practical skills to spot unhelpful thoughts and test them with real-life experiments. It is often helpful for anxiety, panic, depression and sleep difficulties by breaking patterns that keep problems going.
Choosing the right approach is part of the work. The therapist will talk with the client about goals, preferences and what has or hasn't helped before. Together they will try methods that fit the person's needs and adjust the plan as progress is made.
Online therapy with Sarah can use video calls, phone sessions, live chat or text-based messaging. Video is good for a fuller face-to-face conversation, phone is useful when bandwidth is low, and chat or messaging can suit brief check-ins or a paced process over days. These flexible formats make it easier to fit therapy around work, family or mobility needs while keeping sessions practical and focused.
Frequently asked
What concerns does Sarah help with?
She supports people with stress, anxiety, depression and addictions, along with issues like low self-esteem, grief, trauma and relationship or intimacy-related difficulties.
What is her general therapeutic style?
Sessions combine practical exercises and reflective discussion, aiming to build new habits and clearer priorities that people can use between meetings.
How long has she been practising?
She has 15 years of professional experience working with a wide range of emotional and behavioural concerns in the United Kingdom.
What professional credentials does she hold and where is she based?
Sarah is a member of the British Association for Counselling and Psychotherapy, BACP, and practices in the United Kingdom.
Which languages are sessions offered in?
Sessions are offered in English and international clients are accepted.
Which session formats are available?
Work with Sarah can take place by video calls, phone sessions, live chat or text-based messaging to suit different preferences.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be cancelled at any time.
How do I begin the process?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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