About Sarah
Sarah Mac Farlane is a BACP counsellor based in the United Kingdom. She has nine years of practice supporting people who feel overwhelmed by stress, anxiety, trauma, low mood or life changes. She also works with concerns such as self-esteem, grief, anger and phobias.
Sarah aims to make the first step easier by offering calm, practical help and straightforward guidance. In sessions she listens first and asks what matters most to each person.
Background and approach
Sarah draws on several therapy styles to suit the issue and the individual. She uses clear, practical tools to help with anxious thoughts, difficult memories and problems that keep coming back. Her background includes work with emotional regulation, intrusive thoughts and motivation.
Sarah also supports people facing caregiving stress, chronic health worries and relationship difficulties. She pays attention to the emotional impact of big life events and loss. Sarah trained in a range of approaches such as cognitive behavioural therapy and dialectical behaviour therapy.
She describes herself as integrative, choosing techniques that match a client’s goals rather than sticking to a single method. The credential BACP stands for British Association for Counselling and Psychotherapy and is noted after her name. Sessions are offered in English and she is able to work with people internationally.
Therapy can be delivered by video calls, phone, live chat or text-based messaging to fit different schedules and needs.
How different approaches fit with online work
Acceptance and Commitment Therapy, often called ACT, focuses on noticing thoughts and choosing actions that match personal values. It can help when anxiety or avoidance keeps someone stuck and they want to live in line with what matters to them. Cognitive Behavioural Therapy, or CBT, looks at patterns of thinking and behaviour and teaches practical exercises to reduce unhelpful thoughts and behaviours. It is commonly used for anxiety, depression and phobias. Attachment-Based Therapy pays attention to how early relationships shape current feelings and reactions, and it can help people understand relationship patterns and build safer ways of relating.Finding the right approach is part of the work. Sarah will talk with each person about goals and preferences and then suggest a blend of methods that best fits their situation. The process is collaborative and can change as needs evolve during therapy.
Online sessions are offered by video calls, phone, live chat or text-based messaging to make therapy more flexible. Video sessions allow face-to-face discussion when visual cues matter. Phone sessions use less bandwidth and can be easier to fit into a work break. Live chat or messaging can be used for shorter check-ins, notes between sessions or for people who prefer not to be on camera. These options make it easier to keep continuity and attend regularly without long travel.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Hypnotherapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 9 years
- Licensed
- Languages
- English
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