Narcisa Sierra , LMHC

Narcisa Sierra is a Licensed Mental Health Counselor (LMHC) based in New York with ten years of clinical experience. She focuses on helping people manage stress, anxiety, depression, and the emotional impacts of trauma and abuse, and she also supports clients working through relationship and family issues, grief, sleep disturbances, parenting challenges, anger, career transitions, and substance-related concerns.

Her practice addresses a broad range of conditions including bipolar disorder, ADHD, and addictions, and she offers additional focus on attachment difficulties, avoidant personality patterns, codependency, dissociation, post-traumatic stress, and sexual assault and abuse. Drawing on several therapeutic frameworks, Narcisa tailors care to each person’s needs and goals while maintaining an attentive, compassionate stance.

As an LMHC - a credential that denotes a licensed mental health counselor - she practices in English and is available to work with international clients. Narcisa integrates evidence-informed methods such as mindfulness, psychodynamic insights, trauma-focused strategies, and Internal Family Systems to support recovery, growth, and more manageable day-to-day functioning.

Therapeutic approaches and online care

Narcisa offers several complementary approaches to address emotional distress and life challenges. Mindfulness Therapy focuses on present-moment awareness and practical skills to reduce stress and improve emotional regulation, which can help with anxiety, sleep problems, and everyday overwhelm. Trauma-Focused Therapy concentrates on understanding and processing traumatic experiences in ways that reduce symptoms and support recovery, particularly for those impacted by abuse or post-traumatic stress. Psychodynamic Therapy explores patterns in relationships and inner life that influence current feelings and behaviors, useful for long-standing issues like attachment difficulties, codependency, and identity questions.

Choosing the right approach is part of the therapeutic process, and Narcisa works collaboratively with each person to determine which methods fit their needs, goals, and preferences. Treatment plans are adapted over time as progress is made and priorities shift.

Online therapy with Narcisa is available via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and comfort levels. These formats make it easier to maintain continuity of care across locations and life demands while allowing therapists and clients to focus on the therapeutic work together.