About Sarah
Sarah Mac Farlane is a counsellor based in the United Kingdom with nine years of clinical experience. She helps people who are feeling overwhelmed by stress, anxiety, depression, grief or difficult life changes. Sarah also supports those coping with trauma, low self-esteem, eating concerns, anger and challenges linked to ADHD and LGBT issues.
Sarah uses straightforward talking and practical tools in sessions. She follows an integrative way of working, drawing on approaches such as Cognitive Behavioural Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
Background and approach
This means she adapts her style to what each person needs rather than using a single fixed method. People can expect a calm, collaborative space to talk through problems and try out new ways of responding. Sarah aims to help clients notice unhelpful patterns, practise skills for managing difficult thoughts and emotions, and set small steps toward clearer goals.
Her background includes a British Association for Counselling and Psychotherapy registration, and a mix of mental health experience across community and clinical settings. She describes her work as person-centred and practical, blending evidence-based techniques with attention to how life circumstances affect wellbeing. This approach is intended to suit people wanting pragmatic strategies alongside emotional support.
To confirm current session options before booking, readers should check the appointment details shown on the service they use.
What Sarah works with
Everything Sarah lists, in their own terms. LGBT is the reason Sarah is listed here; the rest shows what else Sarah works with.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Grief
- Eating disorders
- Parenting issues
- Anger management
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- 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
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counselling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- 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
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Approaches Sarah lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centred Therapy
- Cognitive Behavioural Therapy (CBT)
- Dialectical Behaviour 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
Listing an approach is not evidence of training in it. This directory copies what each counsellor names and does not check training records.
Therapeutic approaches and online support
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without struggling with them. It encourages choosing actions that match personal values and can help with anxiety, depression and life transitions. Cognitive Behavioural Therapy (CBT) focuses on how thoughts, feelings and behaviours interact and teaches practical techniques to change patterns that cause distress. It is often used for anxiety, low mood and intrusive thoughts. Attachment-Based Therapy looks at how past relationships shape current patterns and can help people understand how they relate to others and to themselves.Finding the right mix of approaches is part of the work. The therapist will talk with the client about goals, preferences and what has worked before, then try methods together and adjust as needed. The aim is a collaborative process rather than a fixed formula.
Please confirm the current session options before booking, as formats are shown when you arrange appointments. Online sessions can make it easier to fit therapy around work or caregiving, reduce travel time and allow shorter check-ins when needed. Some formats may be better for doing exercises that use written or visual materials, while others suit a longer, conversational session. Ask about the practical setup when you schedule so sessions match your day-to-day life.
Questions people ask about Sarah
What kinds of problems does Sarah help with?
She works with stress, anxiety, depression, trauma and abuse, grief, low self-esteem and related concerns such as eating issues, anger and compassion fatigue.
What is her general therapy style?
Sarah uses an integrative, person-centred style that blends talking with practical techniques to manage thoughts and emotions.
How much clinical experience does she have?
She has nine years of professional experience working in mental health and counselling settings in the UK.
Which professional credential does she hold and where is she based?
She holds BACP registration and works from the United Kingdom.
Which languages are supported for sessions?
Sessions are offered in English.
Can people living outside the UK work with her?
International clients are accepted; confirm practical arrangements when you begin scheduling.
How do fees and payment work?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
What should I do to begin therapy?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's listed availability.
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