Narcisa Sierra , LMHC

Narcisa Sierra is a Licensed Mental Health Counselor (LMHC) practicing from New York with 10 years of clinical experience. She focuses on helping people navigate stress, anxiety, trauma and abuse, depression, self-esteem struggles, coping with life changes, and addictions, and also provides support for relationship and family concerns, grief, sleep difficulties, parenting challenges, anger, career issues, bipolar disorder, and ADHD. Additional areas of focus include attachment issues, avoidant personality patterns, codependency, dissociation, drug and alcohol addiction, post-traumatic stress, and sexual assault and abuse.

Narcisa integrates several clinical approaches into her work, drawing on mindfulness-based practices, psychodynamic ideas, trauma-focused techniques, and Internal Family Systems perspectives to tailor care to each person’s needs. With a decade of experience she aims to create a practical, skills-oriented space for processing difficult experiences, improving coping, and strengthening relationships. Therapy is offered through video calls, phone sessions, live chat, and text-based messaging, and she is able to work with international clients. Narcisa is not accepting new clients at this time.

Therapeutic Approaches and Online Care with Narcisa Sierra

Narcisa draws on several proven frameworks to guide online work. Mindfulness Therapy emphasizes present-moment awareness and practical exercises to reduce reactivity and manage symptoms such as stress, anxiety, and sleep disturbance. Trauma-Focused Therapy concentrates on safely processing traumatic experiences and developing coping strategies for symptoms associated with post-traumatic stress, sexual assault, and abuse. Internal Family Systems offers a way to explore inner parts and relationships within the self, which can help with attachment issues, codependency, and patterns that maintain emotional distress.

Finding the right approach is part of the therapeutic process. Narcisa collaborates with each person to identify which methods fit best with their goals, history, and preferences, and adjusts the plan as work progresses so care remains responsive and individualized.

Online therapy with Narcisa is available by video call, phone session, live chat, or text-based messaging, offering flexibility for different schedules and needs. These options allow licensed professionals and therapists to meet people where they are, making it easier to maintain continuity of care while balancing everyday responsibilities.