Counsellor profile
Sarah "Sian" Welch, BACP
Counsellor - anxiety and addictions
See online counselling options- ACT
- CBT
- Stress support
About Sarah
Counsellor Sarah "Sian" Welch is BACP registered and has 15 years of experience working in the United Kingdom. She helps people with stress, anxiety, addictions, low self-esteem, depression and coping with life changes.
Sian works in a straightforward way. She treats clients as experts in their own lives and looks for strengths to build on. Sessions focus on practical steps and understanding patterns that cause distress.
Her approach commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. She uses these methods to help people notice unhelpful thoughts, try different behaviour, and clarify what matters most to them.
Sian has lengthy experience with relationship and family concerns, trauma and abuse, grief, intimacy issues and sleep problems. She also supports people dealing with anger, parenting strain and compassion fatigue, and has additional focus on ageing, chronic illness, addiction issues and midlife changes.
People come to her for problems such as panic attacks, process addictions, seasonal mood shifts and feelings of isolation or guilt. Work in sessions may include practical coping skills, exploring values, and setting small, manageable goals. To begin clients follow the site booking steps and complete a short matching questionnaire.
How ACT and CBT are used in online counselling
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without being driven by them. It encourages choosing actions that match personal values, which can help with anxiety, depression and problems around motivation.Cognitive Behavioral Therapy looks at the links between thoughts, feelings and behaviour. It helps identify unhelpful thinking patterns and tests small changes to reduce symptoms like panic or low mood.
Finding the right approach is part of the work. Sian will talk through the options and agree a plan with the client. The choice of methods will depend on your needs, goals and what feels most helpful to you, and she treats this as a collaborative process.
Details of session formats are not listed in the profile, so please confirm current options before booking. Many people find remote counselling easier to fit around work, family or health commitments. Online sessions can make shorter check-ins possible and remove travel time, helping therapy fit into everyday life while keeping the focus on clear, practical steps.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What does she help with most often?
She works with stress, anxiety, addictions, low self-esteem and depression. She also supports people facing relationship issues, grief and life changes.
What kind of approach does she use?
Sian uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). These approaches focus on noticing thoughts, changing unhelpful patterns and clarifying values.
How much experience does she have?
She has 15 years of professional work experience in the United Kingdom. That experience includes a range of mental health and life issues.
Which professional body is she a member of?
She is registered with the British Association for Counselling and Psychotherapy, shown as BACP.
In which languages can sessions be held?
Sessions are offered in English.
Can international clients work with her?
Yes, she accepts international clients as stated in her profile.
How are costs handled?
Cost varies with location and sessions use a subscription that can be cancelled at any time. Exact pricing is provided through the booking flow.
How do I start a first session?
Use the See online counselling options button, complete the short matching questionnaire, and then schedule a first session through the site.
Details come from information the counsellor supplied to BetterHelp. A membership or registration can be checked on the professional body's own register.
Online counselling is not emergency care. In an emergency call 999, or see the help numbers.