Sian Dyer, BACP
Grounded, integrative therapy for individuals and couples
- Anxiety and stress support
- Emotional regulation skills
- Relationship and couples work
About Sian Dyer
Sian Dyer is an integrative psychotherapist based in the United Kingdom who works with adults and couples experiencing concerns such as anxiety, stress, low mood, relationship difficulties, emotional overwhelm, low self-esteem, and feeling stuck or disconnected. Her work draws together Cognitive Behavioral Therapy (CBT), humanistic and psychodynamic therapy, and a polyvagal-informed perspective, with the aim of offering support that feels personal, grounded, and responsive to each client’s needs.
A central theme in Sian’s therapy is emotional regulation and building a clearer understanding of the nervous system. She helps clients make sense of common stress responses such as fight, flight, freeze, or shutdown, and how these patterns can influence thoughts, feelings, and relationships. By noticing what is happening internally, clients can begin to develop steadier ways of responding to challenges and create more room for clarity, calm, and self-trust.
In sessions, Sian may explore how the nervous system reacts under stress, practical strategies for becoming more grounded, and how past experiences and attachment patterns can shape the present. She also supports clients in strengthening self-esteem, building healthier boundaries, and understanding how thoughts, behaviors, and the body interact, with progress paced in a manageable and supportive way.
Sian also offers couples therapy for partners who want to improve communication, rebuild connection, or understand recurring relationship patterns. Her approach supports couples in recognizing emotional responses, attachment needs, and nervous system reactions, helping them move away from blame and toward greater empathy and teamwork.
A central theme in Sian’s therapy is emotional regulation and building a clearer understanding of the nervous system. She helps clients make sense of common stress responses such as fight, flight, freeze, or shutdown, and how these patterns can influence thoughts, feelings, and relationships. By noticing what is happening internally, clients can begin to develop steadier ways of responding to challenges and create more room for clarity, calm, and self-trust.
In sessions, Sian may explore how the nervous system reacts under stress, practical strategies for becoming more grounded, and how past experiences and attachment patterns can shape the present. She also supports clients in strengthening self-esteem, building healthier boundaries, and understanding how thoughts, behaviors, and the body interact, with progress paced in a manageable and supportive way.
Sian also offers couples therapy for partners who want to improve communication, rebuild connection, or understand recurring relationship patterns. Her approach supports couples in recognizing emotional responses, attachment needs, and nervous system reactions, helping them move away from blame and toward greater empathy and teamwork.
Areas of Expertise
Also Specializes In
LGBTRelationship issuesFamily conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoping 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 disabilityCodependencyCommitment 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 issuesForgivenessGender dysphoriaGuilt and shameHIV / 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 injuryWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior 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
Frequently Asked Questions
How much experience does Sian Dyer have?
Sian Dyer has 5 years of experience supporting clients in therapy.
Is Sian Dyer a licensed therapist?
Yes. Sian Dyer holds BACP credentials.
In which languages does Sian Dyer provide therapy?
Sian Dyer provides therapy in English.
Where is Sian Dyer located?
Sian Dyer is located in the United Kingdom.
How can I work with Sian Dyer as my therapist?
You can work with Sian Dyer through video calls, phone sessions, live chat, or text-based messaging, depending on what feels most comfortable and what is available.
Does Sian Dyer work with international clients?
Yes. Sian Dyer works with international clients.
How much does therapy with Sian Dyer cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic approaches that translate well to online sessions
Sian Dyer draws from several evidence-informed approaches that can be adapted to online therapy, helping clients explore patterns while staying connected to practical tools for day-to-day life.Cognitive Behavioral Therapy (CBT) focuses on how thoughts, feelings, and behaviors influence one another. In online sessions, CBT can support clients who want to better understand unhelpful thinking patterns, strengthen coping strategies, and build steadier routines when stress, anxiety, or low mood feels overwhelming.
Acceptance and Commitment Therapy (ACT) emphasizes making space for difficult internal experiences while taking steps toward what matters most. It can be helpful for people who feel stuck, self-critical, or pulled into constant worry, and who want to build psychological flexibility and values-led choices.
Attachment-Based Therapy explores how early relational experiences can shape present-day needs, expectations, and reactions in close relationships. This can be especially relevant for relationship difficulties and for couples who want to understand recurring cycles and respond with more awareness.
Finding the right approach is part of the process. Sian works collaboratively, adapting sessions to a client’s goals, preferences, and pace, and refining the focus as therapy unfolds.
Online therapy can make it easier to access consistent support through video calls, phone sessions, live chat, or text-based messaging. This flexibility can suit busy schedules, different communication styles, and clients who prefer meeting from a familiar environment.