- ACT methods
- CBT skills
- Mindfulness practice
About Bisirat
Bisirat Sium is a Licensed Clinical Social Worker (LCSW) in Texas with six years of experience. She works with people facing stress, anxiety, depression, trauma and abuse, relationship struggles, and addiction. She also addresses guilt and shame directly when those feelings are part of what people bring to sessions.
Bisirat focuses on helping people name and sit with difficult emotions. She uses practical skills from cognitive behavioral therapy to spot unhelpful thinking. She blends that with mindfulness practices to reduce reactivity and with acceptance and commitment ideas to clarify values and next steps.
In sessions she follows a client-centered stance, listening first and shaping work around what matters most to each person. She brings dialectical behavior techniques when emotions feel overwhelming or when people need steady emotion-regulation strategies. Motivational interviewing helps when someone is wrestling with addiction or making big changes.
She also pays attention to how family roles and identity affect shame and guilt. This can include looking at attachment patterns, blended family dynamics, communication problems, or the aftermath of infidelity and separation. The focus is on practical adjustments and clearer self-understanding rather than labels.
People who meet with Bisirat often work on improving communication, reducing impulsivity, coping with loneliness, and finding meaning after loss or life transitions. To start, she asks about current struggles and what a manageable next step would look like, then shapes sessions around those goals.
How therapeutic approaches guide online sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that align with their values. It is often used for anxiety, depression, and persistent guilt or shame by focusing on what matters next rather than trying to eliminate feelings. Cognitive Behavioral Therapy (CBT) breaks down problems into thoughts, feelings, and behaviors then uses practical exercises to change patterns that keep people stuck. It can be helpful for anxiety, low mood, and addictive behaviors.Finding the right approach is part of the work. Bisirat will discuss ACT, CBT, client-centered listening, and mindfulness techniques with each person and together decide which methods fit current goals and preferences. This is a collaborative process that can shift as needs change.
Session logistics should be confirmed before booking since specific formats were not listed in the biography. Ask about the available session types when you sign up. The main practical benefit of web-based sessions is fitting therapy into daily life - shorter check-ins around work breaks, fewer commutes, and the ability to continue work during life transitions. Online meetings also make it easier to use mindfulness exercises and homework between appointments. Ask about session lengths and scheduling when you complete the matching questionnaire so you can find an arrangement that fits your routine.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, trauma and abuse, addictions, and relationship difficulties. Guilt and shame are listed as a specific focus area.
How would she approach feelings of shame or guilt?
She uses a mix of acceptance and commitment ideas, cognitive behavioral techniques, and mindfulness to help people notice thoughts, reduce reactivity, and choose value-driven actions.
What is her background and experience?
She holds a Licensed Clinical Social Worker credential and has six years of clinical experience working with a range of concerns including trauma, addiction, and relationship issues.
Where is she based and what credential does she hold?
She practices in Texas and is credentialed as an LCSW in that state.
In which language are sessions offered?
Sessions are offered in English only.
Does she take clients from other countries?
International clients are not currently accepted.
How does billing and cost work?
Cost varies by location and sessions use a subscription model that can be canceled at any time.
What should I do to begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session to get started.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.