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Sarah "Sian" Welch

Sarah "Sian" Welch, BACP

United Kingdom

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BACP counsellor - Anger and anxiety support

  • ACT and CBT methods
  • Addictions and recovery
  • Stress and sleep issues

About Sarah

Sarah "Sian" Welch is a BACP counsellor practising in the United Kingdom with 15 years of professional experience. She helps people who are struggling with stress, anxiety, depression, addictions and low self-esteem. She also works with relationship and family concerns, grief, sleeping difficulties, parenting strain and anger.

Sian approaches therapy with the view that each person knows their own story. She looks for strengths clients already have and uses those as a starting point. Sessions are straightforward and focused on practical ways to manage feelings and behaviour across daily life.

Her work draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. Those approaches are used to help people notice unhelpful patterns, try different responses and commit to actions that reflect their values. Sian uses clear explanations and simple exercises that people can practise between sessions.

She also supports people facing longer term health or life-stage challenges, including chronic pain or midlife change. Additional areas she addresses include control issues, guilt and shame, loneliness, panic, seasonal mood changes and process addictions.

Sian accepts international clients and conducts work in English. Practical steps for starting include completing a short questionnaire and scheduling a first session. Fees vary with location and sessions use a subscription model that can be cancelled at any time.

How ACT and CBT guide online sessions

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them. It uses small practical steps to move toward what matters, which can help with anger, avoidance and low mood.

Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and actions. It offers simple exercises to test unhelpful beliefs and change reactions, useful for anxiety, panic and stress-related anger.

Finding the right approach is part of the work. The therapist will discuss your goals and preferences and try methods that fit your needs. That collaborative process may adjust over time as you see what helps.

This profile does not list specific session formats, so confirm current options before booking. Online work can make it easier to fit sessions into everyday life by removing travel and offering more flexible scheduling. It can also allow shorter check-ins or audio-only meetings when that suits your routine or bandwidth. Registered or accredited professionals will explain practical arrangements and help plan sessions that fit your day-to-day life.

Areas of expertise

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCompassion fatigue

Additional focus areas

Aging and geriatric issuesChronic pain, illness, and disabilityControl issuesDrug and alcohol addictionGuilt and shameIsolation / lonelinessMidlife crisisPanic disorder and panic attacksProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)

Experience

15+ years

Listed in

United Kingdom

Languages

English

Frequently asked questions

What concerns does she help with?

Sian helps with stress, anxiety, depression, addictions and self-esteem. She also works with anger, relationship and family issues, grief and sleeping problems.

What style of therapy does she use?

She draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. Sessions focus on noticing patterns, trying new responses and practising practical tools between meetings.

How much experience does she have?

She has 15 years of professional experience working with a range of emotional and behavioural concerns. That experience includes supporting people with long-term health and life-stage issues.

Is she registered and where does she practise?

She is registered with the British Association for Counselling and Psychotherapy (BACP) and works in the United Kingdom.

Which languages are available for sessions?

Sessions are offered in English.

Can people outside the UK work with her?

International clients are accepted. Confirm practical details such as time zones and scheduling when arranging sessions.

How are sessions paid for and what do they cost?

Fees vary with location and sessions use a subscription that can be cancelled at any time. Check the subscription terms for specific pricing details.

How do I begin if I want to work with her?

Start by selecting the See online therapy options button, completing a short matching questionnaire and then scheduling a first session.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Sarah "Sian" WelchBACP

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