Sally Sierra, LCSW

Approaches that translate well to online therapy

Sally combines body-focused awareness and talk therapy to help people feel steadier in daily life. Somatic work invites attention to physical signals like tension, breath, or posture and links those sensations to emotions. This can help with anxiety, trauma responses, and chronic stress.

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts without getting stuck in them. It focuses on values and small actions that move a person toward a meaningful life, useful for depression, life transitions, and low motivation. Attachment-Based Therapy looks at how early relationships shape current patterns. It helps people understand why they react certain ways in close relationships and learn different, healthier responses.

Choosing the right approach is collaborative. The therapist will listen to goals, try methods that suit the person's needs, and adjust over time. Most people benefit from blending somatic awareness with practical CBT or ACT techniques based on what works for them.

Online sessions are offered by licensed professionals through video calls, phone, live chat, or text messaging. These options make it easier to fit therapy into a busy life, keep continuity during transitions, and use brief check-ins when needed. The variety of formats lets people use whatever medium feels most comfortable while working toward their goals.