Online + In-Person Therapy | Coral Gables, FL

MEET VANESSA

Meet Vanessa Sierra, LMFT

A therapist, a listener, and a believer that the patterns we carry do not have to define the life we create.

Portrait of Vanessa M. Sierra, LMFT
A LITTLE ABOUT ME

Creating a Space Where People Feel Seen, Safe, and Understood.

For over 20 years, I have worked with adults, couples, families, and children across nonprofit, educational, and private-practice settings. My work is grounded in listening closely to what people are saying, noticing the patterns underneath what they are experiencing, and creating a therapeutic space where they can feel understood without judgment. I believe meaningful change begins when we can make sense of what we have been carrying and begin seeing new possibilities for how we relate to ourselves and others.

MY STORY

I Learned Early That Feeling Safe Can Change Everything.

As a shy and reserved child, I often found comfort in my imagination and was deeply sensitive to the feelings of others. As I grew, I became more observant of people and the spaces around me, paying close attention before deciding where I felt safe enough to connect.

That sensitivity became especially meaningful in my first therapeutic work with foster children. I cared deeply about their stories, but over time I learned an important lesson: my role was not to rescue them. It was to help restore a sense of dignity, safety, and possibility - to create a space where they could discover that what they had experienced did not have to define who they were.

That experience shaped the way I continue to see therapy today. I do not believe people need to be rescued. I believe they need a safe and guided space to understand what they have lived through, recognize their strengths, discover new ways of thinking and responding, and reconnect with the parts of themselves that deserve to be heard.

A quiet sunlit windowsill looking out over a garden
A SHIFT IN PERSPECTIVE

Sometimes What Looks Like Distance Still Has Connection Underneath.

Early in my career, I expected my work to focus mainly on children and families. Working with my first couple changed that. I began to see how much can become fragmented in a relationship without people realizing it, and how meaningful it can be to help two people slow down, understand what is happening between them, and discover what may still be underneath the hurt.

Over the years, I have worked with couples who arrived feeling as though separation was the only option. With time, professional guidance, and clinical support, some began to see their relationship differently - to understand the patterns between them, create a new narrative, and reconnect with what still mattered to them.

HOW I WORK

I Start by Listening.

I listen carefully to what clients say- and to what may be communicated through body language, emotional expression, communication style, beliefs, relationships, and patterns of response. I also pay attention to a person's history, support systems, self-awareness, readiness for change, and the connection between what they say they want from therapy and what may be keeping them stuck.

  1. Listen

    Understand the story, the present experience, and the patterns within it.

  2. Notice

    Explore emotions, beliefs, triggers, relationships, and responses.

  3. Understand

    Connect what is happening today with the experiences and patterns that may be influencing it.

  4. Move Forward

    Build awareness and practice healthier ways of responding, communicating, and relating.

MY APPROACH

Different People Need Different Paths.

My work is collaborative and individualized. Depending on the person, the concern, and the goals of therapy, I may draw from approaches including EMDR, interpersonal therapy, narrative therapy, strength-based therapy, ACT, somatic and trauma-focused approaches, art therapy, and the Gottman Method for couples. Exercises such as grounding, breath work, movement, art, music, and narrative writing may also be used when they fit the work and the client's needs.

  • EMDR
  • Interpersonal therapy
  • Narrative therapy
  • Strength-based therapy
  • ACT
  • Somatic & trauma-focused approaches
  • Art therapy
  • The Gottman Method for couples
EXPERIENCE & TRAINING

More Than 20 Years of Experience.

Licensure & Leadership

  • Licensed Marriage and Family Therapist (LMFT), State of Florida
  • Florida Chapter Director for A Home Within (pro-bono therapy for current & former foster youth)
  • Over two decades of clinical experience in South Florida across private practice, educational institutions, and community non-profit agencies

Clinical Trainings & Certifications

  • EMDR (Eye Movement Desensitization and Reprocessing) Certified Training
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
  • Acceptance and Commitment Therapy (ACT)
  • Esther Perel's Transformative Approach to Couples Therapy in Action
  • The Gottman Method for Couples Therapy
  • Nurturing Parenting Skills & Attachment-Based Family Systems

Advanced Specialized EMDR Studies

  • EMDR and Chronic Medical Illness & Pain Management
  • EMDR for Complex Dissociative Disorders and Ego State Therapy
  • EMDR Protocols for Early Childhood Trauma, Sexual Abuse & Neglect
  • Advanced Child & Youth Somatic/EMDR Interventions

Workshops & Presentations

  • Clinical trainings on trauma-informed care and nervous system regulation for clinicians
  • Workshops for families and community educators on relational repair and healthy authority
  • Community mental-health advocacy and foster-care trauma awareness presentations
HEAR FROM VANESSA

Thoughts & Reflections.

WHAT I BELIEVE

Your Past May Shape You. It Does Not Have to Define You.

No one owns our identities. We do not have to remain chained to the voices of the past. I believe there is always room to understand what we have inherited, question what no longer serves us, and move toward a life that feels more aligned with who we are becoming.

There is an open door we have the right to walk through. Let's walk there together.

READY TO BEGIN?

You Don't Have to Have the Right Words Yet.

Start with a conversation about what you're experiencing and what you hope to understand or change.