Sally Sierra, LCSW

Sally Sierra is a licensed clinical social worker who helps people manage stress, anxiety, low self-esteem, depression, and major life changes. She works with concerns that include relationship and family strain, trauma and abuse, grief, parenting challenges, anger, bipolar disorder, and ADHD. Her style is warm and straightforward, aimed at practical steps people can try between sessions.

She uses Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and attachment-focused ideas to help people spot unhelpful patterns and try different ways of responding. Sessions emphasize real-life skills for managing strong emotions and improving communication. Clients can expect direct feedback, guided exercises, and work tailored to what they want to change.

Over seven years of practice, Sally has supported people facing midlife shifts, workplace stress, and ongoing emotional struggles. She also pays attention to issues like body image, isolation, and the lasting effects of abandonment or dependent relationship patterns. Her background includes work with end-of-life and hospice concerns and immigration-related stress.

Sally is licensed as an LCSW in New Mexico and Florida, and she practices from Florida. Sessions are offered in English and are conducted online by video, phone, live chat, or text messaging. International clients are not accepted.

Her approach centers on collaboration: she and the client set clear, manageable goals and track progress. Practical coping tools and steady support are combined so people can make changes that fit their daily life.

Approaches you can use in online sessions

CBT, or Cognitive Behavioral Therapy, focuses on identifying thoughts and behaviors that keep problems going and trying new ways of thinking and acting to reduce symptoms like anxiety or depression. ACT, Acceptance and Commitment Therapy, helps people notice painful thoughts and feelings without letting them drive behavior while clarifying personal values to guide meaningful action. Attachment-Based Therapy looks at how early relationship patterns shape current bonds and communication, and it helps people practice different ways of connecting and setting boundaries.

Choosing the right approach is part of the work together. The therapist will review your goals, preferences, and life situation and will recommend a mix of methods that fit. You and the therapist collaborate on what to try first and adjust the plan based on what helps.

Online therapy offers several practical benefits. Video calls allow face-to-face conversation when schedules or distance make in-person visits hard. Phone sessions can be a quicker check-in or an option when video would use too much bandwidth. Live chat and text-based messaging make it possible to get brief support between sessions or to communicate if you prefer writing. These options make it easier to fit therapy into busy days and to keep continuity when life gets disrupted.