Sarah Mac Farlane , BACP

Sarah Mac Farlane is a counsellor based in the United Kingdom. She works with people facing stress, anxiety, depression and trauma. Her approach is grounded in helping people through everyday difficulties and big life changes.

She has nine years of professional experience and holds BACP registration with the British Association for Counselling and Psychotherapy. Sarah draws on several well-known therapies to match the work to each persons needs. Sessions are conversational and focused on practical steps to make day-to-day life more manageable.

Her areas of interest include self-esteem, grief, eating concerns, ADHD and relationship difficulties. She also supports those dealing with compassion fatigue, anger and parenting stresses. Sarah pays attention to how attachment patterns and past experiences shape current reactions.

In therapy she uses both structured and person-centred methods. That means there may be exercises to try between sessions alongside space to talk things through. The aim is to build skills and notice small changes that add up over time.

Sarah accepts clients from outside the UK and runs sessions in English. Online formats include video calls, phone sessions, live chat and text-based messaging. To begin, people complete a short matching questionnaire and book at a time that suits them.

How therapeutic approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on values and small committed actions to move life in a meaningful direction, which can help with anxiety, depression and stress. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and uses practical exercises to change unhelpful patterns. CBT is often useful for anxiety, low mood and intrusive thoughts.

Finding the best way to work is a collaborative process. The counsellor will discuss goals and preferences, and together they will try methods that suit the persons needs. Over the first few sessions the approach can be adjusted based on what helps most.

Online sessions are offered by video call, phone, live chat or text-based messaging to give flexibility. Video is good for focused therapy work, phone calls are useful when bandwidth is limited, live chat can fit into a short break and messaging allows brief check-ins or ongoing support between sessions. Many people find online formats make it easier to fit therapy into a busy life while still using the same therapeutic tools used in face-to-face work.