Sarah Mac Farlane , BACP

Sarah Mac Farlane is a UK-based, qualified and registered therapist with nine years of clinical experience supporting people through a wide range of emotional and life challenges. She works with stress and anxiety, trauma and abuse, depression, grief, low self-esteem, intrusive thoughts, phobias, anger, eating and parenting concerns, relationship difficulties, ADHD, compassion fatigue, and issues affecting LGBT clients, among other areas.

Sarah describes her practice as integrative, drawing on training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), mindfulness, and BWRT to adapt methods to each person’s needs. She also offers couples work and has trained in the Gottman method and Emotionally Focused Therapy (EFT) to support partners working on communication and connection. Her approach emphasizes collaboration - she views each person as the expert on their own story and builds on existing strengths to create practical, manageable steps toward change.

As a BACP member, Sarah adheres to the professional standards expected of counsellors and psychotherapists in the United Kingdom. She aims to provide a compassionate, respectful space for people to explore difficult experiences and develop coping strategies that fit their daily lives.

Approaches and Online Support

Sarah draws on Acceptance and Commitment Therapy (ACT) to help people notice unhelpful patterns, clarify personal values, and take committed action toward a more meaningful life - an approach useful for anxiety, depression, and life transitions.

She also uses Attachment-Based Therapy to explore how early relationship patterns influence present-day connections and emotional responses, which can be especially helpful for relationship struggles, abandonment issues, and attachment concerns.

Cognitive Behavioral Therapy (CBT) features in her work to identify and shift thinking and behavior patterns that maintain distress, offering practical tools for symptoms such as intrusive thoughts, phobias, and low mood.

Finding the right therapeutic approach is part of the process and Sarah works collaboratively with each person to choose techniques that match their needs, goals, and preferences. She tailors interventions over time so therapy remains relevant and responsive.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - make it easier to fit sessions into daily life and to access support from different locations. These formats offer flexibility in scheduling, allow varied ways to communicate, and enable ongoing work between sessions through messaging when appropriate.