CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

SG Portrait of Sierra Gray

Sierra Gray

Calm, practical support for emotional balance

LPC Virginia

Experience
13 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages
English
Continue with Sierra

About Sierra

Sierra Gray is a licensed professional counselor (LPC) based in Virginia who draws on 13 years of clinical experience to help people manage stress, mood concerns, and interpersonal difficulties.

Background and approach

She centers her work on practical, evidence-informed methods to address depression, anxiety, bipolar symptoms, and relationship strains, while also focusing on issues like social anxiety, communication breakdowns, isolation, and problems with self-worth. Her style blends compassion with collaboration, guiding clients to identify unhelpful patterns and build skills for clearer thinking and healthier interactions.

She pays particular attention to experiences of guilt, shame, forgiveness, and the emotional shifts surrounding pregnancy and childbirth, aiming to strengthen self-love and reconnect people to meaningful relationships. Sierra emphasizes personalized care that honors each person’s story and goals.

She helps clients translate insight into concrete strategies so they can reduce distress, improve communication, and move toward greater emotional balance and resilience.

Evidence-Informed Approaches for Online Therapeutic Support



Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety and depression; it often includes practical exercises and skills practice to create measurable change. Dialectical Behavior Therapy (DBT) combines skill-building in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness to help with intense emotions and relationship difficulties. Solution-Focused Therapy concentrates on strengths and small, achievable steps toward specific goals rather than dwelling on problems, making it useful for clients seeking pragmatic progress.

Choosing the right approach is collaborative. The therapist will work with each person to explore goals, preferences, and responses to different techniques, adjusting methods over time to find what best supports the client's needs. That process helps tailor sessions so interventions are relevant and manageable.

Online therapy offers flexible options including video calls, phone sessions, live chat, and text-based messaging to fit into varied schedules and comfort levels. These formats can make it easier to access licensed professionals from home or work, maintain continuity during life transitions, and practice skills between sessions through ongoing messaging and brief check-ins.

Frequently asked questions

What kinds of concerns does she address?
Sierra works with stress, anxiety, depression, bipolar-related concerns, relationship and family issues, and conditions such as social anxiety and isolation.
What is her therapeutic style and approach?
Her practice emphasizes collaborative, compassionate care using evidence-informed methods including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Solution-Focused Therapy to build coping skills and problem-solving strategies.
How much clinical experience does she have?
She brings 13 years of experience as a practicing therapist, working with a range of mood and interpersonal concerns.
What credentials and location are listed?
She holds the LPC credential with license number VA LPC 0701008499 and practices in Virginia.
Which languages are available for sessions?
Sessions are offered in English, and she is not accepting international clients at this time.
What session formats are offered?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on preferences and availability.
How are costs and payment structured?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working together?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling sessions based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsBipolar disorderDepression

Additional focus areas

Communication problemsForgivenessGuilt and shameIsolation / lonelinessPregnancy and childbirthSelf-loveSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Solution-Focused Therapy

Experience

13+ years

Licensed

Virginia

Languages

English