Sarah "Sian" Welch

Sarah "Sian" Welch is a counsellor who uses practical, evidence-informed approaches to help people manage stress, anxiety and life changes. She holds BACP registration and brings 15 years of professional experience to sessions. Sian works with people facing depression, addictions, low self-esteem and confidence challenges. She emphasises collaboration and simple steps that feel achievable.

People meet Sian to talk through grief, trauma and abuse, relationship and intimacy-related concerns, sleeping problems and anger. Her practice also covers parenting strain, compassion fatigue and issues linked to ageing, chronic illness or disability. Sian lists additional focus areas such as panic attacks, seasonal affective disorder and process addictions.

Her way of working aims to build on what a person already does well. Sessions look at values, habits and everyday choices, and use practical techniques to try out between meetings. The approach is straightforward and aimed at making change feel manageable rather than overwhelming.

Sian draws on Acceptance and Commitment Therapy and Cognitive Behavioural Therapy to shape work in session. She supports people to notice unhelpful patterns and try small experiments to test alternatives. Conversations are paced to the person’s needs and goals.

Clients are invited to take the lead on what matters most to them. Sian encourages honest discussion about hopes and limits, and helps people plan realistic next steps. To begin, people complete a short matching questionnaire and arrange sessions according to availability.

How ACT and CBT guide online work with practical goals

Acceptance and Commitment Therapy helps people clarify what matters to them and take small steps that match their values. It often involves noticing thoughts and feelings and choosing actions that move someone toward a more meaningful life. Cognitive Behavioural Therapy looks at links between thoughts, feelings and behaviour and uses simple techniques to change unhelpful patterns. CBT is commonly used for anxiety, depression, panic and sleep problems.

Finding the best approach is a shared process. The therapist will work with each person to choose methods that fit their goals and preferences. That might mean combining elements of ACT and CBT or focusing on one approach more than the other, depending on what is needed.

Practical benefits of online work can include fitting sessions around family and work life and avoiding travel time. Online therapy can make it easier to check in during a busy week or to use shorter appointments for quick reviews. The original biography does not list specific session formats, so confirm which options are offered before booking. Registered or accredited professionals can help design a plan that suits daily routines and practical constraints.