Narcisa Sierra , LMHC

Narcisa Sierra is a Licensed Mental Health Counselor (LMHC) based in New York with ten years of professional experience supporting people through stress, anxiety, trauma, and life transitions. She blends evidence-informed approaches to address a wide range of concerns including depression, substance-related issues, relationship and family dynamics, grief, sleep difficulties, and challenges with attention and mood regulation. Narcisa offers care for complex presentations such as attachment difficulties, dissociation, codependency, post-traumatic stress, and survivors of sexual assault and abuse, tailoring work to the needs presented by each individual.

Her clinical toolkit includes mindfulness-based practices, psychodynamic understanding of patterns, trauma-focused methods, and Internal Family Systems ideas to help clients explore internal conflicts and build new coping resources. As an LMHC - a licensed professional trained to assess, diagnose, and treat mental health conditions - she draws on training and a decade of experience to form collaborative treatment plans. Narcisa practices in English and maintains a focus on practical strategies for coping, improving relationships, and navigating major life or career changes.

She works with both individual and relational concerns, and she accepts international clients; she is not currently accepting new clients for individual therapy at this time.

Therapeutic Approaches and Online Care

Narcisa Sierra combines several therapeutic approaches to meet each person where they are. Mindfulness Therapy teaches present-moment awareness and practical skills to reduce reactivity and manage stress and anxiety. Trauma-Focused Therapy concentrates on understanding and processing traumatic experiences to reduce their ongoing emotional and behavioral impact. Internal Family Systems helps clients map internal parts or subpersonalities, fostering self-leadership and more harmonious internal relationships when patterns like avoidance or self-criticism arise.

Finding the right approach is part of the therapeutic process. Narcisa works collaboratively with clients to clarify goals, explore preferences, and determine whether a mindfulness emphasis, trauma-focused work, IFS-style exploration, or a blend of methods will best support progress. She adapts treatment based on ongoing feedback and clinical needs.

Online therapy with Narcisa is offered through flexible formats - video calls, phone sessions, live chat, or text-based messaging - so people can access support around work, family, and travel commitments. These options make it easier to maintain continuity of care, try different session styles, and fit therapy into a busy life while working with licensed professionals who focus on practical, evidence-informed strategies.