Sarah "Sian" Welch , BACP

Sarah "Sian" Welch works using practical, evidence-based approaches to help people manage stress, anxiety and life changes. She uses straightforward conversations and focused exercises to build coping skills and increase day-to-day wellbeing. Sian holds a BACP credential and has practised in the United Kingdom for 15 years.

Clients can bring concerns such as depression, low self-esteem, addictions and sleep problems. She also supports people dealing with grief, trauma and intimacy-related difficulties. Women's issues are a noted focus and she helps individuals explore how gender and life stage affect wellbeing.

Sian blends Acceptance and Commitment Therapy with Cognitive Behavioural Therapy ideas. That means sessions mix talking about what matters to the person with practical techniques to change unhelpful patterns. The work aims to identify values, reduce avoidance and build small, repeatable habits that improve mood and function.

Her style is direct but warm. Sessions tend to be task-focused and collaborative, with short exercises to practise between meetings. This helps people see small changes early on while working toward longer term goals.

Over 15 years she has worked with a wide range of concerns including anger, compassion fatigue, chronic pain and midlife transitions. Sian helps people break cycles linked to process or substance addiction and supports those coping with isolation and guilt. She encourages realistic steps and steady progress.

Online approaches that match your life and goals

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and commit to small actions that reflect those values. It supports people experiencing anxiety, depression, low motivation and issues tied to identity or life transition.

Cognitive Behavioural Therapy, CBT, looks at the links between thoughts, feelings and behaviours and teaches practical techniques to shift unhelpful patterns. It is commonly used for anxiety, panic, mood difficulties, sleep problems and addiction-related behaviours.

Finding the best approach is a collaborative process. The therapist will talk through your concerns, goals and preferences and suggest ways of working that feel right for you. Plans may combine elements of ACT and CBT and adjust over time based on what helps most.

Online therapy options include video calls, phone sessions, live chat and text-based messaging to fit different needs. Video calls work well for full sessions and visual connection. Phone meetings can be quicker check-ins or suit lower bandwidth. Live chat or messaging lets people share thoughts in writing and fit support around busy schedules. These formats offer flexibility so therapy can fit work, caring duties and travel without lengthy commutes.