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- Mindfulness Therapy
- Trauma-Focused Therapy
- Internal Family Systems
About Narcisa
Narcisa Sierra is a Licensed Mental Health Counselor (LMHC) in New York with 10 years of clinical experience. She works with adults on stress, anxiety, trauma and abuse, depression, relationship concerns, addictions, and parenting stress. Sessions address practical problems like sleep troubles, anger, career strain, and coping with life changes.
She uses Mindfulness Therapy to help people notice how thoughts and feelings affect daily choices. She draws on Psychodynamic Therapy to look at patterns that repeat in relationships and behavior. Trauma-Focused Therapy and Internal Family Systems are part of her work when past hurt or dissociation affects functioning.
In sessions she encourages clear, concrete steps alongside reflective work. Conversations can include breathing and grounding exercises, mapping patterns from past relationships, and naming internal parts that influence behavior. She helps people develop routines for sleep, manage impulses related to substance use, and practice communication skills.
Narcisa has experience addressing complex issues such as bipolar symptoms, ADHD challenges, attachment difficulties, and codependency. She also supports survivors of sexual assault and people managing post-traumatic stress. Her approach mixes short-term problem solving with deeper exploration when needed.
Clients can expect someone who pays attention to both present difficulties and the history behind them. She works in English and accepts international clients. Cost varies by location and sessions use a subscription that can be canceled at any time.
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How her approaches translate to online work
Narcisa uses Mindfulness Therapy online to teach simple noticing and breathing practices people can use between sessions to manage anxiety and stress. These exercises focus on moment-to-moment attention and are introduced in short, repeatable steps that fit daily life. She also draws on Trauma-Focused Therapy to address the impact of past harm. Online sessions can include pacing, grounding strategies, and careful processing of traumatic memories when appropriate, always attending to what the person can manage in a given moment. Choosing the right approach is part of the first sessions. She collaborates with each person to decide whether mindfulness, psychodynamic reflection, trauma-focused work, or Internal Family Systems is most helpful for their goals and circumstances. Practical benefits of online work include easier scheduling around work or caregiving, avoiding travel time, and the ability to continue care while located outside New York because she accepts international clients. The biography did not list specific session formats, so confirm current session options before booking. Online work can make it simpler to fit brief check-ins, regular weekly sessions, or longer focused visits into everyday life.Sheet 3
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
New York
Languages
English
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Frequently asked questions
What concerns does she work with?
She works with stress, anxiety, trauma and abuse, depression, addictions, relationship issues, parenting strain, sleep problems, anger, career stress, bipolar and ADHD among other concerns.
What methods does she use in sessions?
She uses Mindfulness Therapy, Psychodynamic Therapy, Trauma-Focused Therapy, and Internal Family Systems depending on the issue.
How much clinical experience does she have?
She has 10 years of experience providing mental health care.
What credential and location apply to her practice?
She is an LMHC licensed in New York and practices with that credential.
Which languages and international work are supported?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats; confirm current session options before booking.
How is cost handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.