Sian Dyer
Practical therapy focused on nervous system regulation
About Sian
Sian Dyer is a BACP counsellor who blends practical talking therapy with approaches that focus on thoughts, feelings and relationships. She draws on methods such as Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based work to help people facing stress, anxiety, low mood and relationship strain. Sian writes plainly and aims to make each session feel grounded and manageable.
She helps people understand how their nervous system reacts under pressure.
Background and approach
That can make sense of reactions like fight, flight, freeze or shutdown. Learning simple regulation strategies is central to her sessions so people can feel steadier in daily life. Sian supports people through grief, addiction and trauma, and works with those dealing with self-esteem, intimacy and sexual concerns including kink and alternative sex culture.
She also offers help around eating and sleeping problems, career strain, compassion fatigue and ADHD-related difficulties. Her work pays attention to attachment and how early relationships shape current patterns. This helps when people feel stuck in repeating cycles with partners or struggle to trust themselves.
Sessions also cover practical skills for setting boundaries and building self-compassion. With five years' experience in the United Kingdom, Sian uses a collaborative, client-centred style. She offers sessions by video call, phone, live chat or text messaging.
International clients may be seen and sessions operate via a subscription that can be cancelled at any time.
What Sian works with
How Sian works
Listed by Sian among the ways they work.
Listed by Sian among the ways they work.
Listed by Sian among the ways they work.
Listed by Sian among the ways they work.
Listed by Sian among the ways they work.
Listed by Sian among the ways they work.
Sessions & fees
Approaches that guide online sessions
Sian uses Acceptance and Commitment Therapy to help people notice unhelpful thought patterns and commit to actions that reflect their values. ACT is useful when someone feels stuck or avoids difficult feelings and wants clearer direction in life.She also draws on Cognitive Behavioural Therapy to identify and change thinking and behaviour patterns that keep problems going. CBT is often helpful for anxiety, low mood, sleeping problems and for building practical coping skills.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences and what feels most helpful, then adapt methods to suit each person. This is a collaborative process and plans can change as needs evolve.
Online sessions are offered by video call, phone, live chat or text-based messaging to provide flexibility. Video calls are useful for face-to-face conversation, phone sessions work well when bandwidth is limited, live chat is good for shorter check-ins, and text messaging lets people write between sessions. These options make it easier to fit therapy around work, caring responsibilities or travel.
| Session length | Typically 50 minutes |
|---|---|
| Client ages | Adults, 18 and over |
| Fees | Subscription via BetterHelp, cancel anytime |
| Insurance | Not billed directly |
Questions people ask
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Areas of focus
What this therapist works with
Also listed
- Abandonment
- 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
- 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
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counselling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- 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)
- Relationship issues
- 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
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- 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
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 5 years
- Registered with
- BACP
- Languages
- English
