Sian Dyer

• Anxiety and stress
• Emotional regulation
• Couples work

About Sian

Sian Dyer works with adults and couples on anxiety, stress, low mood, relationship difficulties, emotional overwhelm and low self‑esteem using an integrative approach that combines cognitive-behavioural ideas, attachment work and client-centred listening. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has five years’ experience.

Sian focuses on how the nervous system shapes feelings and behaviour. She explains common responses such as fight, flight, freeze or shutdown and helps people notice how those reactions affect thinking and relationships. Sessions include practical strategies for emotional regulation alongside reflective work about past experiences and attachment patterns.

She uses elements of Acceptance and Commitment Therapy and Dialectical Behaviour Therapy alongside cognitive-behavioural techniques to help people manage unhelpful thoughts and develop coping skills. Client-centred principles guide the way sessions are paced and the topics explored, so work progresses at a manageable rate.

Sian also works with couples to improve communication and reduce blame by understanding emotional responses and attachment needs. Couples look at recurring patterns and learn ways to strengthen emotional safety and clearer interaction habits.

Her background includes personal experience of using therapy to change long-standing worry and self-criticism, which informs a practical focus on building steadier emotional regulation, self-esteem and clearer boundaries. People can expect work on thoughts, behaviours and bodily responses together, with attention to everyday concerns like sleep, eating, parenting and work stress.

How her therapeutic approaches work online

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values; it is useful for anxiety, low mood and life changes. Attachment-Based Therapy explores how early relationships affect current ways of relating and can help with intimacy, relationship patterns and feeling understood. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and offers practical strategies to reduce unhelpful thinking and improve coping.

Finding the right approach is part of the work. Sian will talk with clients about goals, preferences and how different methods might help, and then decide together what to try first. The therapist adapts pacing and techniques as progress and priorities become clearer.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit counselling into a busy day, reduce travel time and allow for shorter check-ins where helpful. It also supports continuity for people living abroad, since she accepts international clients. Registered or accredited professionals and therapists often use remote sessions to help people maintain regular contact while balancing everyday commitments.

Topics Sian lists

• Stress and anxiety
• Addictions
• Trauma and abuse
• Grief
• Self-esteem
• LGBT
• Relationship issues
• Family conflicts
• Intimacy-related issues
• Eating disorders
• Sleeping disorders
• Parenting issues
• Anger management
• Career difficulties
• Bipolar disorder
• Depression
• 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
• 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
• Forgiveness
• Gender dysphoria
• Guilt and shame
• HIV and AIDS
• Hoarding
• Hospice and end-of-life counselling
• Immigration issues
• Impulsivity
• Infidelity
• Intellectual disability
• Isolation and 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 and non-monogamous relationships
• Postpartum depression
• Post-traumatic stress
• Pregnancy and childbirth
• Prejudice and discrimination
• Process addictions
• Seasonal Affective Disorder (SAD)
• Self-harm
• Self-love
• Sex addiction
• Sexual assault and abuse
• Sexual dysfunction
• Sexuality
• Quitting smoking or vaping
• Social anxiety and phobia
• Somatization
• Traumatic brain injury
• Women's issues
• Workplace issues
• Young adult issues

Ways of working

• 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

Questions about Sian

Does she work with anxiety and depression?

Yes. She helps people manage anxiety, low mood and related issues such as stress and bipolar mood challenges.

What kind of counselling does she offer?

She offers an integrative approach drawing on cognitive-behavioural ideas, attachment-based work, client-centred therapy, ACT and DBT techniques.

How much experience does she have?

She has five years of clinical experience working with adults and couples.

Is she a registered counsellor in the UK?

She is a member of the British Association for Counselling and Psychotherapy (BACP).

Can I have sessions in languages other than English?

Sessions are offered in English.

Do you accept international clients?

Yes. She is available to work with international clients.

How much do sessions cost?

Cost varies with location; sessions use a subscription that can be cancelled at any time.

How do I start counselling with her?

Click the Talk to a counsellor online button, complete a short matching questionnaire, and then schedule your first session.