About Narcisa
Narcisa Sierra is a licensed mental health counselor (LMHC) based in New York who uses mindful, relational approaches to help people manage stress, anxiety, depression, and ADHD symptoms. She brings ten years of clinical experience to sessions and focuses on practical steps that clients can use between appointments.
Narcisa blends mindfulness practices with psychodynamic ideas to help people notice unhelpful patterns and feel more present in daily life. She also integrates trauma-focused work for those healing from past abuse or sexual assault.
Background and approach
In sessions she listens for how early relationships affect current feelings and behaviors and helps clients name those patterns. Her approach is conversational and down-to-earth. She helps people build routines for sleep, reduce overwhelm, and manage mood swings or racing thoughts.
When substance use or addictive behaviors are part of the picture, she addresses those alongside other concerns rather than separating them out. Narcisa often uses internal family systems ideas to map different parts of a person’s inner life. That work can make strong emotions easier to understand and less frightening.
It also supports people working through attachment issues, codependency, dissociation, and post-traumatic stress. People who reach out can expect a collaborative plan that focuses on what matters most to them. Narcisa explains options clearly and helps set small, achievable goals so progress feels manageable.
How her approaches translate to online therapy
Mindfulness Therapy helps people slow down and pay attention to the present moment. Online sessions use simple guided practices and breathing or grounding exercises to reduce anxiety, improve sleep routines, and ease overwhelm.Trauma-Focused Therapy focuses on processing past harm in manageable steps. In virtual sessions she works gradually to reduce reactivity and symptoms linked to trauma or sexual assault, using pacing and stabilization before deeper processing.
Narcisa treats finding the right approach as a collaborative process. She will talk with each person about their goals, preferences, and what has or hasn’t worked in the past. Together they adjust methods and pace so the work feels useful rather than overwhelming.
Online formats offer practical flexibility. Video calls are used for deeper conversation and guided practices, phone sessions can fit a busy day or lower bandwidth, and live chat or text-based messaging work well for brief check-ins, homework prompts, or when writing helps clarify thoughts. These options make it easier to keep continuity of care and build skills between sessions.
Questions people ask
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What this therapist works with
Also listed
- Addictions
- ADHD
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Career difficulties
- Codependency
- Coping with life changes
- Depression
- Dissociation
- Drug and alcohol addiction
- Family conflicts
- Grief
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Sexual assault and abuse
- Sleeping disorders
Therapeutic approaches
- Experience
- 10 years
- Licensed
- New York
- Languages
- English
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