About Narcisa
Narcisa Sierra is a licensed mental health counselor (LMHC) who uses mindfulness and trauma-focused work to help people manage overwhelming feelings. She focuses on clear, practical steps so parents and caregivers can find more calm and steadier days. Her style is direct and compassionate, aimed at making small changes that add up over time.
She draws on mindfulness therapy to teach breathing, grounding, and attention skills that reduce anxiety and improve sleep.
How Narcisa works
In trauma-focused sessions she helps people name painful memories and slowly build tolerance for difficult feelings. Internal Family Systems work is used to understand different parts of a person - the reactive parts and the parts that want to heal. Narcisa also uses psychodynamic ideas to look at long-standing patterns that affect relationships and self-esteem.
This can help with issues like codependency, avoidant tendencies, and attachment struggles. She brings ten years of experience working with people facing addiction, grief, bipolar challenges, and major life transitions. Sessions are structured to balance emotional processing with practical problem solving.
Clients can expect check-ins on mood, skill practice, and space to talk about painful events or relationship patterns. Narcisa aims to help people notice progress and try new coping skills between sessions. She practices from New York and meets people in English.
Online formats include video calls, phone sessions, live chat, and text-based messaging, and she accepts international clients.
Narcisa lists 4 ways of working on the entry:
What Narcisa works with
The areas below are the ones Narcisa selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
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
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online care
Mindfulness Therapy teaches simple attention and grounding practices to reduce anxiety and improve sleep. Online sessions can introduce short exercises to try between meetings and review what helped or did not help.Trauma-Focused Therapy focuses on processing painful memories at a pace that feels manageable. Remotely, this work includes naming distressing moments, practicing regulation skills, and building tolerance for difficult feelings while tracking progress session by session.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals and comfort level. That means trying tools, checking what helps, and adjusting the plan together over time.
Online formats offer practical flexibility. Video calls allow full conversation and visual cues. Phone sessions can be easier when bandwidth or camera use is limited. Live chat and text-based messaging support shorter check-ins, skill coaching between sessions, or people who prefer writing. These options make it simpler to fit therapy into busy lives and to continue work during life transitions.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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