You're maxed out. Everyone thinks you're fine.

That performance isn't sustainable. Meet this week, figure out what's actually wrong, and leave with 1-2 tools that work for your life—not another therapy appointment that's 80% venting and 20% strategy.

How it works

Therapy doesn't have to take years. Here's how we'll work together, faster.

1

Same-week starts

Book today, meet within 3-5 days. When you're maxed out and quietly unraveling, every day matters.

2

Tools day one

We map what's underneath—the people-pleasing, the no-boundaries. You leave with 1-2 tools that help.

3

Build real capacity

Each week targets your patterns—Sunday anxiety, saying yes too much, overwhelm. We adjust fast. You're getting stronger.

4

Ongoing Support

You're calmer, steadier, centered. You've got tools for when anxiety spikes or you're drowning. Tune-ups available anytime.

What We Help With

When pressure never lets up and your mind won't switch off, even rest feels impossible. With support, you can begin to slow down, breathe easier, and carry life's demands without it consuming you.

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Learn about our approach, what to expect, and book a free consultation

When heaviness lingers or emotions swing without warning, it can feel like life is happening on autopilot. Therapy offers steadiness, space to reconnect, and the chance to rediscover joy in daily life.

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When past experiences intrude on the present—through flashbacks, tension, or sudden shutdowns—life can feel hijacked. Healing work helps you integrate what happened and move forward with more freedom.

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Grief, career shifts, or family changes can leave you untethered, even if things look steady on the outside. With support, you can find solid ground, carry loss with more steadiness, and grow through change.

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Even the most capable people can feel hollow when self-doubt and inner criticism take over. Therapy helps rebuild confidence, reconnect you with your values, and strengthen how you show up in every part of life.

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Anxiety & Stress Disorders

When pressure never lets up and your mind won't switch off, even rest feels impossible. With support, you can begin to slow down, breathe easier, and carry life's demands without it consuming you.

explore
Learn about our approach, what to expect, and book a free consultation
Mood & Emotional Health

When heaviness lingers or emotions swing without warning, it can feel like life is happening on autopilot. Therapy offers steadiness, space to reconnect, and the chance to rediscover joy in daily life.

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Trauma & PTSD

When past experiences intrude on the present—through flashbacks, tension, or sudden shutdowns—life can feel hijacked. Healing work helps you integrate what happened and move forward with more freedom.

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Life Transitions & Loss

Grief, career shifts, or family changes can leave you untethered, even if things look steady on the outside. With support, you can find solid ground, carry loss with more steadiness, and grow through change.

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Identity & Self-Esteem

Even the most capable people can feel hollow when self-doubt and inner criticism take over. Therapy helps rebuild confidence, reconnect you with your values, and strengthen how you show up in every part of life.

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A Complete Individual Care Package

What you get and what happens next

Individual

$220
/session

Not sure if therapy is right for you? Let's talk for 15 minutes, no pressure. Already working with someone? I'm happy to be a second opinion. Worried about cost? I accept most insurance.

What's Included:

Same-week availability when you're ready to start

Practical tools and strategies from your first session

50-minute personalized sessions focused on what matters most to you

Hi, I’m Sierra!

I built this practice after waiting months for help while barely holding it together—then leaving my first session with just validation and no tools.

Now I help people who are anxious and burned out get support this week with strategies they can use immediately, because I know what it costs to keep carrying everything when you're already at your limit.

Licensed Clinical Social Worker (LCSW) specializing in ACT and EMDR—approaches focused on building capacity and taking action, not just managing symptoms

See my full background and approach →

Serving Manhattan and Online
Across New York State

I'm a licensed psychotherapist based in Manhattan, offering in-person sessions across NYC including the Upper West Side, Midtown, SoHo, and the East Village.

Through secure telehealth, I also support clients anywhere in New York State.

Accepted Insurance: Aetna, Cigna, Blue Cross Green Shield, United Health Care. Don't see yours? I offer superbills for out-of-network reimbursement.

I typically respond to new inquiries within 24 hours and have evening appointments available.

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Your Questions Answered

Get the Support You Need This Week—Without the Wait or the Guesswork.

Book a free 15-minute call. We'll talk about what you're going through, and I'll tell you exactly how I can help. Zero pressure, zero judgment.

I have 3 spots available this week.