Sarah "Sian" Welch, BACP
Sarah "Sian" Welch is a counsellor with 15 years of professional experience registered with the BACP, based in the United Kingdom.
About Sarah
Sarah "Sian" Welch is a counsellor with 15 years of professional experience registered with the BACP, based in the United Kingdom. She focuses on practical support for people facing stress, anxiety, addictions, low self-esteem and depression. Sian treats every person as the expert of their own life and aims to build on existing strengths to move forward.
Sian uses clear, straightforward conversations to help people find workable steps. She listens for what matters most to each person and helps turn that into achievable goals.
Background and approach
Sessions centre on everyday changes rather than complicated jargon. Her work often covers relationship strain, parenting worries, grief and trauma. She also supports people dealing with sleep problems, anger, compassion fatigue and midlife transitions.
Additional areas include chronic pain or illness, ageing concerns, and process or substance addictions. Sian draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to shape practical exercises. That can mean noticing unhelpful thoughts, practising small behavioural changes, and clarifying personal values to guide decisions.
The focus is on what works in daily life. She welcomes people who want steady, realistic support rather than quick fixes. The first sessions typically look at immediate priorities and explore small steps to reduce distress.
Sian will work collaboratively to adapt the approach as things change.
Registration
| Body | Registration number | Expires |
|---|---|---|
| BACP | 26982 | June 2026 |
Registration details are as listed on the counsellor's public profile. You can check any number with the registering body.
Sessions and payment
Sessions are held online through our partner platform, by video, phone or messaging depending on the counsellor.
Costs are shown on the partner platform before you commit. If cost is a concern, ask about reduced-fee options.
Focus areas and approaches
What Sarah works with
Everything Sarah lists, in their own terms.
- Stress, Anxiety
- Addictions
- Self esteem
- Depression
- Coping with life changes
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Compassion fatigue
- Aging and geriatric issues
- Chronic pain, illness, and disability
- Control issues
- Drug and alcohol addiction
- Guilt and shame
- Isolation / loneliness
- Midlife crisis
- Panic disorder and panic attacks
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Women's issues
Approaches Sarah lists
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
Online support
Cognitive Behavioural Therapy (CBT) works on spotting unhelpful thinking patterns and trying different behaviours to change how someone feels. It is commonly used for anxiety, depression, panic and problems like insomnia and low self-esteem.
Choosing the right approach is part of the work together. Sian will discuss ACT, CBT and practical options in early sessions and will tailor methods to your goals and preferences. The process is collaborative and reviewed as progress is made.
Online therapy offers practical flexibility. Video calls let you work face to face without travel, phone sessions need less bandwidth and can be easier to fit into a busy day, while live chat or text-based messaging suits short check-ins or ongoing support between sessions. These options make it easier to keep continuity of care and fit therapy around work, family and health needs.
Frequently asked
What issues does Sian commonly help with?
Sian supports people with stress, anxiety, addictions, low self-esteem and depression, along with grief, trauma, sleep problems and relationship worries.
What is her therapeutic style like?
She keeps sessions straightforward and practical, focusing on small, achievable steps and building on each person’s strengths.
How much experience does she have?
She has 15 years of professional experience working in the United Kingdom with a range of emotional and behavioural concerns.
What credentials and location are listed?
She is registered with the British Association for Counselling and Psychotherapy (BACP) and is based in the United Kingdom.
Which languages are supported for sessions?
Sessions are offered in English and support is available for international clients.
What session formats are offered?
Therapy can be delivered by video calls, phone sessions, live chat or text-based messaging according to client preference.
How are costs and billing handled?
Costs vary with location and therapist arrangements; sessions use a subscription model that can be cancelled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, then schedule sessions based on the therapist’s availability.
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