About Siyi
Siyi Lai is a licensed marriage and family therapist (LMFT) based in New York. She draws on both professional training and life experience to help people manage anxiety, stress, relationship strain, and intimacy concerns. She speaks English, Mandarin, and Cantonese and works with adults on personal and relational struggles.
In sessions she focuses on practical steps people can use right away. Conversations often start with identifying what feels most urgent, then trying strategies to reduce anxiety and improve communication.
Background and approach
She also helps people facing changes like separation, caregiving stress, or shifts in identity and intimacy. Siyi has four years of clinical experience and brings a down-to-earth style to therapy. She supports people dealing with body image, shame, and issues tied to family of origin.
Topics such as attachment wounds, abandonment fears, and avoidant personality patterns are explored with attention to daily life impacts. She also works with people who identify with kink, BDSM, or alternative sexual cultures to address communication, consent, and boundaries. Conversations about gender dysphoria, forgiveness, and rebuilding trust are handled with directness and respect.
Therapy sessions aim to strengthen coping skills and help clients make clearer choices. Sessions are offered by video call, phone, live chat, or text-based messaging. Clients follow a subscription model that can be canceled at any time.
To begin, people complete a short matching questionnaire and schedule sessions based on therapist availability.
Approaches for Anxiety, Intimacy, and Life Changes
Many of the techniques used focus on clear, evidence-based ways to reduce anxiety and improve relationships. One common approach teaches skills to notice and change unhelpful thoughts and behaviors, helping people feel less overwhelmed and more able to act on their values. Another approach looks at how attachment and past relationships shape current patterns, which can help when intimacy or abandonment fears get in the way of connection.Finding the right approach is part of therapy. The therapist works together with each person to decide which methods fit their goals, temperament, and daily life. Sessions begin with practical goals and adapt over time as needs evolve, so the plan is collaborative rather than fixed.
Offering video calls, phone sessions, live chat, and text-based messaging makes it easier to fit therapy into a busy life. Video calls let people read facial cues and have fuller conversations, phone sessions use less bandwidth and can be easier during short breaks, and chat or messaging supports quick check-ins or ongoing reflections between sessions. This mix provides flexibility while keeping focus on progress and real-world changes.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Intimacy-related issues
Also listed
- Abandonment
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Caregiver issues and stress
- Communication problems
- Control issues
- Coping with life changes
- Divorce and separation
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Multicultural concerns
- Polyamory / non-monogamous relationships
- Pregnancy and childbirth
- Self esteem
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Women's issues
- Experience
- 4 years
- Licensed
- New York
- Languages
- English, Mandarin, Cantonese
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