- CBT
- DBT
- Solution-focused
About Sierra
Sierra Gray is a Licensed Professional Counselor (LPC) in Virginia with 13 years of clinical experience. She works with people facing depression, anxiety, bipolar concerns, relationship strain, and stress. Sierra also helps with communication problems, feelings of guilt and shame, isolation, and women's issues.
Her sessions focus on clear, practical steps rather than abstract talk. She uses approaches like Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Solution-Focused Therapy to help people notice unhelpful patterns and try different ways of coping. Conversations cover what’s happening now and what can change next.
Sierra pays attention to how shame or guilt shapes daily choices and relationships. She helps people name those feelings, trace where they come from, and practice responses that feel less stuck. Work often includes short exercises between sessions to test new behaviors and ideas.
When relationship or communication problems come up, she focuses on skills that make conversations clearer and less reactive. For mood concerns such as depression or bipolar-related stress, sessions look at routines, emotion regulation, and practical problem solving. Pregnancy and childbirth concerns, social anxiety, and loneliness are addressed with the same straightforward emphasis on what helps in daily life.
Sierra aims to be collaborative in planning next steps. She encourages small experiments, direct feedback, and steady skill building so people can judge what fits them. To begin, she asks a few practical questions to guide the first session and set short-term goals.
How her approaches shape online sessions
CBT, or Cognitive Behavioral Therapy, focuses on identifying thoughts and behaviors that keep problems going and testing new ways of responding. It is often used for anxiety, depression, and unhelpful patterns tied to guilt or shame. DBT, or Dialectical Behavior Therapy, teaches practical emotion regulation and interpersonal skills to reduce reactivity and manage strong feelings. It can help with intense guilt, mood swings, and relationship stress. Solution-Focused Therapy concentrates on small, achievable steps and what works now rather than long histories. It is useful when people want quick, concrete changes to daily routines or communication.Finding the right mix of approaches is part of the work. She will collaborate with each person to decide which methods fit their goals and preferences. That process includes reviewing what has helped before, trying short experiments, and adjusting the plan based on what feels useful.
Session formats were not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit meetings into a workday, reduce travel time, or allow shorter check-ins when needed. The focus is on practical skills and brief exercises that people can use between appointments to manage guilt, shame, anxiety, and relationship strain.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What kinds of problems does she work with?
She works with stress, anxiety, depression, bipolar concerns, relationship strain, and family-related issues. Additional areas include guilt and shame, loneliness, communication problems, and women's issues.
How does she approach guilt and shame?
She helps people name those feelings and trace patterns that keep them stuck. The work focuses on practical steps and short exercises to try between sessions.
What is her clinical background?
She has 13 years of experience as a practicing clinician. Her background centers on mood, anxiety, relationship dynamics, and social anxiety work.
What credentials does she hold and where is she based?
She is a Licensed Professional Counselor (LPC) practicing in Virginia.
Does she work in other languages or internationally?
Sessions are offered in English. International clients are not currently accepted.
What session formats does she offer?
Confirm current session options before booking as formats were not specified in the biography. Please check the listing to see which formats are available.
How is cost handled for sessions?
Cost varies with location. Sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.