Sarah "Sian" Welch, BACP

Sarah "Sian" Welch uses practical talking therapy to help people navigate difficult times. She combines clear, down-to-earth methods with a steady, respectful approach. Sian has 15 years of experience working with a wide range of emotional and life challenges. She is registered with the British Association for Counselling and Psychotherapy, BACP.

Sian focuses on problems such as stress, anxiety and depression. She also helps people struggling with addictions, low self-esteem and motivation. She supports those dealing with grief, trauma and relationship difficulties, and she offers help with parenting strain and anger.

There is additional experience supporting people facing midlife change, isolation and issues linked to ageing and geriatric concerns. Chronic pain, long-term illness and disability are also areas she works with alongside intimacy-related issues and process addictions.

Her work draws on Acceptance and Commitment Therapy, or ACT, and Cognitive Behavioural Therapy, known as CBT. In sessions she helps clients notice patterns, try small changes and focus on what matters to them. The aim is to build practical skills that fit into everyday life.

Sian believes the client is the expert in their own story. She offers a calm, collaborative space to talk things through and to plan realistic steps forward. Taking the first step can feel hard, and she is there to support people through that process.

ACT and CBT approaches for online support

Acceptance and Commitment Therapy, or ACT, focuses on helping people live in line with their values while accepting difficult thoughts and feelings. It often involves noticing what matters, practising small steps and building psychological flexibility to cope with life changes.

Cognitive Behavioural Therapy, CBT, looks at the connections between thoughts, feelings and actions. It gives straightforward strategies to test unhelpful thinking, reduce avoidant behaviours and improve day-to-day coping with anxiety, depression or sleep problems.

Finding the right approach is part of working together. The therapist will listen to your goals and preferences and suggest whether ACT, CBT or a mix feels most useful. This happens collaboratively so you can try methods that suit your pace and needs.

Please confirm which session formats are currently offered before booking, as the biography does not list explicit formats. Online therapy can make it easier to fit appointments into a busy week, reduce travel time and allow for shorter check-ins when needed. Many people find it simpler to keep continuity of care when life or health issues make leaving home harder.