Let’s work on what you're carrying, and create something new.

Psychotherapy for Californians navigating life, work, and change.

You might be here because…

No one comes empty-handed. We’re all carrying something.

How we'll work together

We move step by step, from understanding to clarity to forward motion.

Arriving & Settling

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Therapy begins by creating a space to pause, reflect, and talk about what feels most important right now.

Exploring & Understanding

Together, we explore the patterns, moments, and pressures shaping how you think, feel, and respond.

We support thoughtful, sustainable steps forward—grounded in what matters to you.

Clarity & Insight

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As understanding deepens, we notice where you have agency and what feels possible to shift.

Integration & Movement

These phases often overlap and circle back. Therapy isn't linear—and that's part of how it works.

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Hello, I'm Sian Townsend

Life can be painful. I help Californians find relief. 

Together, we’ll make sense of your complex feelings and experiences, understand their roots, and equip you with new tools to navigate life transitions—whether related to relationships, work, health, identity, grief, or the effects of trauma.

Before becoming a therapist, I spent over 20 years as a Researcher, helping global organizations understand how people think, feel, and make sense of complexity. As a therapist, I bring those same skills to the room–curiosity, an ability to understand your perspective, recognise patterns, and identify opportunities. I love helping people make sense of things, and find great meaning in helping others thrive. 

Associate Marriage and Family Therapist (AMFT #158830)

Associate Professional Clinical Counselor (APCC #20882)

Supervised by Caroline McDowell, LMFT #47351

Ready to begin?

Reaching out for help can feel like a big first step. I’m here to support you. We’ll begin with a free 20-minute chat to talk through what’s on your mind and see if working together feels right. If it does, we’ll schedule an initial session. Early sessions are a time to understand what you’re carrying, clarify your goals, and begin shaping the work at a pace that feels right for you.

Frequently Asked Questions

Let’s work on what you're carrying, and create something new.

Let’s work on what you're carrying, and create something new.