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Desiree Sierra, LMFT

Experienced mental health professional

Provides online counseling through Octave

At a glance

Desiree is an experienced, licensed Mental Health Professional who specializes in affordable online therapy offered through our partner, Octave.

Great news, Desiree is accepting new clients!
She is normally fully-booked.
Speaks English
Offers Telehealth visits
Licensed in California

More about Desiree

  • 14 years' experience
  • Female
  • LMFT

I believe seeking therapy is a courageous first step toward healing, especially given the stigma around mental health. I work with adults and transitional-age youth navigating life transitions, depression, anxiety, and trauma. My approach is client-centered, tailoring each session to meet your unique needs. I welcome you to reach out when you’re ready to begin your journey toward growth and healing.

Specialties

Anger Issues Burnout Cultural Issues/Racial Stress Depression Family Conflict (1 adult in session) Grief Life Transitions Sexual Assault/Sexual Abuse Stress Workplace Stress Trauma

Treatment Approaches

  • Cognitive Behavioral Therapy (CBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Solution-focused

Licenses

Desiree Sierra's National Provider Identifier (NPI) is 1013213230.

  • LMFT · California · LMFT97853 · Renews February 2026

About online therapy

Affordable.
Get high-quality therapy without the high price. Clients pay an average of $28 per session with in-network insurance.
Convenient.
Schedule sessions that fit your life, not the other way around.
Available now.
No long waitlists. Get matched with a licensed therapist and start therapy as soon as your benefits are confirmed.

Octave makes evidence-based therapy easier to access and easier to afford. Whether you're seeking support for anxiety, depression, stress, relationships, or life transitions, Octave connects you to thoroughly vetted therapists that can meet on your schedule, take insurance, and care about helping you find clarity.

It works: 74% of Octave clients see meaningful improvement with their depression and anxiety symptoms in three months, and outcomes consistently exceed national averages.

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Frequently asked questions

Does Desiree Sierra offer telehealth visits?

Yes. Desiree Sierra works with clients by exchanging messages, chatting live, speaking over the phone, or video conferencing based on what works for the client at that particular time.

What language(s) does Desiree Sierra speak?

Desiree Sierra speaks English.

How many years of experience does Desiree Sierra have?

Desiree Sierra has 14 years of experience.

Where is Desiree Sierra licensed to practice?

Desiree Sierra is licensed to practice in California.

Does Desiree Sierra accept clients outside of the United States?

No, Desiree Sierra does not accept clients outside of the United States.

Is online therapy as effective as in-person therapy?

Numerous studies support the effectiveness of online platforms in facilitating life changes. For instance, research published by JMIR Publications, conducted by teams from the University of Berkeley, UCSF, and SF General Hospital, found that "users of [a major teletherapy service] experienced significantly reduced depression symptom severity after engaging with the platform."

What treatment approaches does Desiree Sierra offer?

Desiree Sierra offers clients Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), and Solution-Focused Therapy.

How can I communicate with Desiree Sierra?

Desiree Sierra can be engaged in any one of four ways: (1) Exchanging messages, (2) chatting live, (3) speaking over the phone, or (4) video conferencing. You can use different ways at different times as you wish, based on your needs, availability, and convenience.

How do I get started with Desiree Sierra?

Just tap the CHAT NOW button or tap here: A new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.

Mental health conditions are real, common, and treatable.

And recovery is possible.

Affordable
High-quality
Proven
Flexible

When you tap BOOK NOW a new window will open and you'll be directed to Octave's website to start your therapy journey. Please note: It can take up to a few days to be matched to a therapist.