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- Stress and anxiety
- Addiction and compulsions
- Relationship and intimacy
About Carlos
LCSW in Florida with 32 years of experience, Carlos Sierra helps people manage stress, anxiety, addiction, anger, low self-esteem, and depression. He works with clients facing relationship and family concerns, grief, intimacy issues, parenting questions, career transitions, bipolar mood concerns, and ADHD. Sessions also address immigration-related stress, infidelity, multicultural and discrimination concerns, OCD symptoms, polyamory and non-monogamous relationship questions, and process addictions such as porn, exercise, or gambling.
Carlos frames clients as experts in their own stories and looks for strengths to build on. He talks through practical steps and coping skills rather than using jargon. The first session focuses on what feels most urgent and what a person hopes to change.
Over his career he has supported people through life changes and burnout, including compassion fatigue and work-related stress. He uses evidence-based therapeutic techniques and a straightforward style to help people identify patterns and try new behaviors. Sessions aim to be problem-focused and concrete when that is helpful.
Carlos encourages a collaborative approach to planning goals and checking progress. He helps people weigh options and practices skills during sessions that can be used between meetings. Work may include coaching elements to support motivation and follow-through.
Sessions are conducted in English and are based in Florida. Before booking, confirm current session formats and scheduling details to match needs and logistics.
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How therapeutic methods translate to remote sessions
Many of the evidence-based techniques Carlos uses focus on skills practice and problem solving. Cognitive and behavioral methods help people notice unhelpful thoughts and try specific behavior changes; these techniques are useful for anxiety, depression, OCD symptoms, and many stress-related problems. Motivational and coaching-oriented methods focus on increasing commitment, setting small goals, and building follow-through, which can help with addictions and procrastination.Finding the right approach is part of the work. The therapist will review a person's goals and preferences and then suggest methods to try. That plan is revisited over time so techniques can be adjusted if something isn’t working.
Session formats are not listed here, so confirm current remote options before booking. Remote work can make it easier to fit sessions around work or caregiving, allow shorter check-ins when needed, and reduce time spent traveling. Licensed professionals can use remote sessions to coach skills, review homework, and practice behavioral experiments between meetings.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
32+ years
Listed in
Florida
Languages
English
Sheet 4
Frequently asked questions
What concerns does he address?
He works with stress, anxiety, addictions, anger, self-esteem, depression, relationship and family issues, grief, intimacy concerns, parenting, career matters, bipolar mood concerns, ADHD, and related topics.
What is his therapeutic approach and style?
He uses evidence-based therapeutic techniques and a practical, problem-focused style. Sessions emphasize strengths, concrete coping skills, and collaborative planning.
How much experience does he have?
He has 32 years of professional experience working with a wide range of behavioral health concerns.
What are his credentials and location?
He is an LCSW licensed in Florida and practices from Florida.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States schedule sessions?
International clients are not currently accepted; sessions are provided within the limits of his Florida licensure.
How are sessions scheduled and what formats are offered?
Session formats are not specified here; confirm current session options and scheduling details before booking to know whether remote or in-person sessions are available.
What does therapy cost and how do payments work?
Cost varies by location. Sessions use a subscription that can be canceled at any time.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.