PuttingFamilyFirst

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NS Portrait of Narcisa Sierra
Online therapist

Narcisa Sierra

Calm, practical support for everyday family life

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Credentials
LMHC
Experience
10 years
Licensed in
New York
Languages
English
Format
Online sessions

About Narcisa

Narcisa Sierra is a licensed mental health counselor who focuses on helping people manage stress, anxiety, and trauma. She uses practical, evidence-informed methods to help clients feel steadier day to day. Her approachable way of working makes it easier for someone who is overwhelmed to start talking and make small changes.

She draws on mindfulness techniques to teach simple skills for grounding and emotional regulation. Narcisa also uses psychodynamic ideas to help people notice patterns that keep repeating in relationships and life choices.

Background and approach

When trauma is central, she brings trauma-focused methods to address painful memories and their effects on daily functioning. With ten years of experience, Narcisa has supported people facing grief, parenting challenges, addiction concerns, and major life transitions. She pays attention to attachment issues, codependency, and dissociation when those patterns show up.

Her background includes work with mood conditions such as depression and bipolar disorder, and attention-related concerns like ADHD. Sessions are conversational and goal-oriented. Clients can expect steady pacing, practical tools they can use between sessions, and a focus on what matters most to them.

Narcisa aims to make therapy understandable and useful for people with busy lives. Based in New York, she holds the credential LMHC, which stands for Licensed Mental Health Counselor. Narcisa offers support in English and is available to international clients through online formats.

Approaches that translate well to online care

Mindfulness Therapy teaches simple, practical skills to notice the body and calm the mind. Short breathing and grounding exercises are used to reduce anxiety, improve sleep, and help during moments of overwhelm. Psychodynamic Therapy looks at recurring patterns in thoughts and relationships so people can understand why they repeat the same problems. Talking through these patterns can help change long-standing habits and reactions.

Choosing the right approach is part of the work together. The therapist will review goals, symptoms, and preferences and suggest which methods to try first. This is a collaborative process and the plan can shift as needs change over time.

Online therapy offers flexibility for busy schedules and for people who live far from a clinic. Video calls let conversations feel close to in-person sessions, while phone, live chat, and text messaging provide options when real-time video is difficult. These formats make it easier to maintain continuity of care, practice skills between meetings, and fit sessions into a family routine.

Mindfulness Therapy

Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.

Psychodynamic Therapy

Exploring how earlier relationships and patterns still shape the present, often over a longer stretch of time. It relies on conversation and reflection rather than exercises.

Trauma-Focused Therapy

Work that takes difficult past experience into account and moves at a pace you set, with attention to feeling steady before anything else. Being in your own space can make that easier for some people.

Frequently asked questions

What kinds of problems does she address?
She works with stress, anxiety, depression, trauma and abuse, grief, parenting concerns, addictions, sleep problems, and related issues such as attachment and codependency.
How would you describe her therapy style?
Therapy is practical and conversational, combining mindfulness skills, psychodynamic insight, and trauma-focused techniques to help with symptoms and life patterns.
What is her professional background?
She has ten years of clinical experience supporting people through life changes, mood concerns, addiction, and traumatic stress.
Where is she licensed and based?
She is based in New York and holds the credential NY LMHC 007090 as a Licensed Mental Health Counselor.
Which languages are sessions offered in?
Sessions are offered in English.
Can people from other countries work with her?
International clients are accepted and can connect with her through online session formats.
What formats are available for sessions?
Sessions can be held by video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.
How are costs and scheduling handled?
Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time; to start, use the Start Therapy button and complete a short matching questionnaire.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
10 years
Licensed
New York
Languages
English

Next step

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