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LMHC

Narcisa Sierra, LMHC

  • Experience10 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesMindfulness Therapy and Psychodynamic Therapy
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Check the available next steps for working with Narcisa online.

About Narcisa

Narcisa Sierra is a licensed mental health counselor (LMHC) who blends several therapeutic traditions to address complex emotional and behavioral concerns. Drawing on mindfulness practices and depth-oriented psychodynamic work, she helps clients build awareness of present-moment patterns while exploring how past experiences shape current feelings and relationships.

Background and approach

Her background in trauma-focused approaches informs sensitive care for those coping with sexual assault, post-traumatic stress, dissociation, and other trauma-related issues. With a decade of clinical experience in New York, Narcisa also supports people facing anxiety, depression, addiction, bipolar symptoms, ADHD, grief, and life transitions.

She incorporates Internal Family Systems principles to help clients recognize internal parts, improve self-leadership, and reduce internal conflict. Her practice emphasizes practical coping strategies alongside exploration of attachment and personality-related patterns such as avoidant tendencies and codependency.

Narcisa works in English and accepts international clients. She offers a variety of session formats to fit different schedules and preferences, and uses a subscription-based scheduling model that can be canceled at any time.

Prospective clients are invited to begin the process by selecting the Start Therapy button and completing a short matching questionnaire to arrange sessions according to availability.

Integrating trauma-aware and mindfulness approaches through online care

Mindfulness Therapy cultivates present-moment awareness and grounding skills to reduce distress from anxiety, stress, and sleep disruption. These practices teach simple attention and breathing strategies that can help stabilize mood and improve day-to-day functioning.

Trauma-Focused Therapy concentrates on processing and resolving the effects of traumatic experiences, using targeted interventions to reduce symptoms related to post-traumatic stress, sexual assault, and severe emotional distress. This approach emphasizes safety, pacing, and techniques tailored to each person’s history.

Finding the right approach is a collaborative process. The therapist will work with each client to identify which methods feel like the best fit based on current needs, goals, and personal preferences, and can combine elements from different models as therapy progresses.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to access consistent care from varied locations. These options make it easier to schedule appointments around work and family life, maintain continuity during transitions, and use the formats that feel most comfortable for discussing sensitive topics.

Frequently asked questions

What concerns does she commonly address?
Narcisa works with a broad range of concerns including stress, anxiety, trauma and abuse, self-esteem, depression, coping with life changes, addictions, relationship and family issues, grief, sleeping difficulties, parenting challenges, anger, career questions, bipolar symptoms, and ADHD.
What is her therapeutic style like?
Her approach combines mindfulness practices with psychodynamic exploration and trauma-focused techniques, aiming to increase present-moment awareness while examining underlying patterns from past experiences.
How much clinical experience does she have?
She has 10 years of clinical experience working with individuals on a range of mental health and trauma-related concerns.
What credentials and location should I know about?
She is licensed as an LMHC and holds the New York license number NY LMHC 007090. She practices from New York.
Can she work with clients who are not in the United States?
Yes, she accepts international clients and conducts sessions in English for those who are located outside the U.S.
Which session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How does payment and cost work?
Costs vary with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Also works with

AddictionsRelationship issuesFamily conflictsGriefSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderADHD

Additional focus areas

Attachment issuesAvoidant personalityCodependencyDissociationDrug and alcohol addictionPost-traumatic stressSexual assault and abuse

Therapeutic approaches

Mindfulness TherapyPsychodynamic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

10+ years

Licensed

New York

Languages

English

About

Narcisa Sierra is a Licensed Mental Health Counselor practicing in New York, with 10 years of experience, not currently accepting new clients.