About Narcisa
Narcisa Sierra is a licensed mental health counselor (LMHC) based in New York. She focuses on practical ways to reduce anxiety and manage stress so people can feel steadier day to day. Narcisa uses mindfulness to help clients notice thoughts and sensations without getting swept up in them.
She also draws on psychodynamic ideas to look at patterns that keep repeating in relationships and behavior. Trauma-focused methods and Internal Family Systems work are part of her approach for people who have experienced abuse, assault, or other traumatic events.
Background and approach
Sessions are straightforward and conversational. Narcisa helps people build concrete coping skills for sleep problems, mood swings, addiction struggles, anger, and grief. She also supports those navigating career changes, parenting stress, and relationship concerns.
With ten years of clinical experience she blends short-term tools with deeper, longer-term work when needed. That combination can help with immediate relief as well as changing long-standing patterns that cause pain. Narcisa works with adults experiencing a range of concerns, including bipolar symptoms, ADHD, and substance use challenges.
She offers services in English and accepts international clients who can connect by video, phone, chat, or text messaging.
Therapeutic approaches adapted for online care
Narcisa often brings mindfulness therapy into sessions to teach simple attention and breathing exercises. These practices help people notice anxiety or intrusive memories and reduce reactivity in daily life. Psychodynamic approaches are used to gently investigate recurring relationship and behavior patterns so those patterns are easier to change.She tailors the approach based on each person's needs. During the first few meetings she will discuss goals, preferences, and what feels most helpful. Together the therapist and client decide whether to emphasize skills, trauma-focused work, or pattern-focused exploration so the plan matches the client's concerns.
Online formats make it easier to fit therapy into busy lives. Video calls allow face-to-face conversation and visual cues, while phone sessions can be a good choice when bandwidth or camera use is difficult. Live chat and text-based messaging offer quick check-ins, brief coping prompts, and flexible ways to keep momentum between longer sessions. These options support continuity of care and help people use therapy in ways that match their schedules and needs.
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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