About Sian
Sian Fagan is a counsellor practising in the United Kingdom with four years of professional experience. She works with people who are struggling with stress, anxiety, relationship difficulties, trauma and abuse, low mood and self-esteem. Sian aims to offer respectful, sensitive and compassionate support as people take the first steps toward change.
She adapts conversations and plans to each person's circumstances. That means sessions reflect what matters most to the individual rather than following a fixed script.
Background and approach
Sian also has experience addressing motivation, confidence and some addiction-related concerns, and she can help when life feels overwhelming or stuck. Sian describes her work as collaborative. She listens to what a person wants to change and helps identify manageable steps forward.
Her practice includes attention to intimacy-related issues, grief and coping with life changes, including career and parenting pressures. The counsellor has additional focus in areas such as attachment issues, ADHD, body image and chronic illness and disability. She also notes experience with topics like adoption and foster care, ageing and blended family matters.
These interests inform how she frames conversations and goals in sessions. Sian holds the NCPS credential. Sessions are offered in English and she accepts international clients.
To begin, people are invited to use the platform’s Start Therapy button and complete a short matching questionnaire before scheduling.
What Sian works with
Everything Sian lists, in their own terms. LGBT is the reason Sian is listed here; the rest shows what else Sian works with.
- Stress, Anxiety
- LGBT
- Relationship issues
- Trauma and abuse
- Depression
- Addictions
- Family conflicts
- Grief
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- 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
- Disruptive Mood Dysregulation Disorder (DMDD)
- 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
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- 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
- Sex addiction
- 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
How evidence-based techniques translate to online therapy
Many therapists combine practical, evidence-based techniques with open conversation to help people manage symptoms and reach goals. Cognitive approaches focus on identifying unhelpful thoughts and trying small behavioural changes to test new ways of thinking; this can help with anxiety, low mood and motivation. Hypnotherapy involves guided relaxation and focused attention to support changes in habits, confidence and coping with stress or pain.Choosing the right approach is part of the work. The therapist will discuss different methods and agree a plan together based on what the person wants to achieve and how they prefer to work. This collaborative process means adjustments can be made as therapy progresses.
Online therapy can make it easier to fit sessions around daily life, such as using time between commitments for a check-in or avoiding travel to appointments. Before booking, confirm the current session options available with the platform so you know which formats are offered. Many people find remote sessions helpful because they reduce time spent travelling and allow more flexible scheduling.
Questions people ask about Sian
What concerns does Sian commonly help with?
She works with stress, anxiety, relationship issues, trauma and abuse, depression and self-esteem problems, plus a wide range of related concerns such as grief, addictions and coping with life changes.
How would you describe her therapeutic style?
Her approach is collaborative and adaptive; she listens and tailors conversations and treatment plans to each person’s needs rather than using a one-size-fits-all method.
What professional background does she have?
She has four years of professional work experience as a psychotherapist and clinical hypnotherapist in the United Kingdom.
What credential does she hold and where is she based?
She holds the NCPS credential and practises from the United Kingdom.
Which languages are sessions available in?
Sessions are offered in English.
Can people outside the UK work with her?
She accepts international clients, so people outside the United Kingdom can be matched to her through the platform.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
How do I begin therapy with her?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist’s availability.
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