- Focus on wellbeing
- Tailored conversations
- Practical steps
About Sian
Sian Fagan is a counsellor practising in the United Kingdom with four years of professional experience. She holds the NCPS credential and works with people who are struggling with stress, anxiety, depression and relationship concerns. She aims to offer respectful and sensitive support as clients begin the work of change.
Sian uses conversations tailored to each person. She focuses on building practical steps alongside talking through feelings and past experiences. That can include looking at motivation, self-esteem and confidence so clients can take the next steps they want.
Her background includes work with trauma and abuse, and supporting people facing grief, addiction and compassion fatigue. She also helps with issues around intimacy, sleeping and eating, and the pressures of parenting and caring roles. Sian also lists work related to ADHD, bipolar and other co-morbid health concerns.
Sian has a broad additional focus that covers attachment issues, adoption and foster care histories, blended family dynamics, body image and chronic illness or pain. She notes experience with alternative sexual cultures such as BDSM and kink and with ageing and geriatric matters.
People who choose to work with Sian can expect a tailored plan rather than a one-size-fits-all approach. She aims to meet people where they are and to adapt conversations and steps to each person’s goals and life circumstances.
Sian uses conversations tailored to each person. She focuses on building practical steps alongside talking through feelings and past experiences. That can include looking at motivation, self-esteem and confidence so clients can take the next steps they want.
Her background includes work with trauma and abuse, and supporting people facing grief, addiction and compassion fatigue. She also helps with issues around intimacy, sleeping and eating, and the pressures of parenting and caring roles. Sian also lists work related to ADHD, bipolar and other co-morbid health concerns.
Sian has a broad additional focus that covers attachment issues, adoption and foster care histories, blended family dynamics, body image and chronic illness or pain. She notes experience with alternative sexual cultures such as BDSM and kink and with ageing and geriatric matters.
People who choose to work with Sian can expect a tailored plan rather than a one-size-fits-all approach. She aims to meet people where they are and to adapt conversations and steps to each person’s goals and life circumstances.
Areas of expertise
Primary focus
Also works with
AddictionsFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues
Experience
4+ years
Credentials
NCPS · United Kingdom
Languages
English
How therapeutic approaches guide online care
Many clients find practical, evidence-based techniques helpful when dealing with stress, anxiety, depression and adjustment to health changes. One common approach focuses on structured conversations that identify unhelpful patterns and teach new coping steps to try between sessions; this is useful for anxiety, low mood and managing day-to-day stress. Another approach works with the memories and feelings tied to trauma by gently processing those experiences at a pace the person chooses; this can help reduce the power of traumatic events on current wellbeing.Choosing the right approach is part of the early work. The therapist will discuss goals and preferences, then recommend techniques likely to help based on those priorities. That recommendation is made collaboratively and can change as needs evolve.
If you are considering online sessions, check the available formats before booking because the biography does not list them explicitly. Online therapy can make it easier to fit appointments around work, caregiving or travel. It can also allow shorter check-ins when a brief conversation is needed or let people avoid travel time on busy days. Registered or accredited professionals can adapt exercises and pacing to suit remote work so progress can continue even when meeting remotely.
Frequently asked questions
What problems does this counsellor help with?
She works with stress, anxiety, depression and relationship concerns, and also supports people facing grief, addiction and compassion fatigue.
How would sessions feel and what approach is used?
Her style is conversational and practical, tailoring each discussion to the person's needs and combining talking with concrete steps to try between sessions.
What experience does she have?
She has four years of professional experience as a psychotherapist and clinical hypnotherapist in the United Kingdom.
What credential does she hold and where is she based?
She holds NCPS and practises in the United Kingdom.
Can I work with her if I live outside the UK?
Sessions are offered to international clients as well as those in the United Kingdom, and are conducted in English.
Which session formats are available?
The biography does not specify session formats; please confirm the current options before booking so you know which formats are offered.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
What do I need to do to begin?
Use the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.