About Sian
Sian Fagan is a psychotherapist with four years of professional experience in the United Kingdom. Sian works with people who are struggling with stress, anxiety, depression and trauma. She aims to offer a calm, respectful space where clients can take the first step toward change.
Sian tailors conversations and plans to each person's situation. She listens for practical patterns that get in the way and helps identify small steps that make a difference.
How Sian works
Her approach is straightforward and compassionate, focused on what feels realistic for everyday life. She has supported people dealing with relationship strain, grief, addictions and issues around intimacy. Other areas she works on include self-esteem, motivation, sleeping and eating difficulties, and coping with life changes.
Sian also helps with career-related stress, compassion fatigue and ADHD-related challenges. Sian holds the NCPS credential, which she uses as part of her practice in the UK. She offers sessions for people affected by a wider range of concerns, including abandonment, attachment issues, autism and neurodiversity, blended family matters, chronic illness and caregiver stress.
The therapist adapts her style to each client, combining practical conversation with guided techniques when helpful. She aims to make therapy feel manageable, with clear goals and options that fit a client's daily routine. Sian presents herself as a steady, supportive presence through the change process.
What Sian works with
The areas below are the ones Sian selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- LGBT
- Relationship issues
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- 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)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | NCPS |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches and online therapy options that fit your life
Evidence-based therapeutic techniques focus on practical change and understanding patterns that cause distress. One common approach helps people identify unhelpful thoughts and behaviours, then rehearses alternative ways of thinking and acting to reduce anxiety and low mood. Another method uses guided relaxation and focused imagery to reduce stress, improve sleep and increase emotional regulation. These approaches are useful for things like anxiety, depression, trauma responses and difficulties with motivation or sleep.Finding the right approach is part of the work. The therapist collaborates with each person to choose methods that match their goals, needs and day-to-day realities. Together they try different techniques and adjust the plan until it feels helpful and doable.
Online therapy offers flexible ways to connect. Video calls let sessions feel close to an in-person meeting, while phone sessions require less bandwidth and can be easier when needing a shorter check-in. Live chat and text-based messaging suit people who prefer writing, want a quick update, or need more flexible timing. These options make it possible to fit sessions around work, travel or family commitments and keep therapeutic progress moving forward.
Start online instead of waiting
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Common questions
What kinds of concerns does this counsellor focus on?
What is the therapist's general approach in sessions?
How much professional experience does she have?
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How are sessions charged and what is the payment model?
What are the steps to begin therapy with her?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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