Sierra Carroll, LPC
Texas · 10 years in practice
Sierra Carroll, LPC brings a decade of clinical work to people wrestling with anxiety, depression, stress, trauma, and ADHD.
License and registration
- LPC, Texas
- 95895 · expires July 2026
- LPC, Arizona
- LPC-22999 · expires March 2028
- NPI
- 1093254237 · national provider identifier
- Years in practice
- 10
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Sierra
Sierra Carroll, LPC brings a decade of clinical work to people wrestling with anxiety, depression, stress, trauma, and ADHD. She focuses on practical steps that help reduce overthinking, improve focus, and create a steadier day-to-day. Sierra writes in plain terms and aims for a warm, down-to-earth approach people can understand quickly.
Her sessions center on understanding how past experiences shape present reactions. She uses client-centered listening to learn what matters most to each person.
Background and approach
From there she blends techniques from cognitive behavioral work and EMDR to address painful memories and unhelpful thinking patterns. Sierra also uses skills from dialectical behavior therapy to build emotional regulation and distress tolerance. When someone struggles with attachment concerns or relationship patterns, she helps them notice habits that cause isolation or conflict and practice different ways of connecting.
Her work is goal-focused but flexible. Sessions often include skills practice, gentle exploration of difficult memories, and concrete plans to test new behaviors between meetings. People leave with tools they can use on tough days, and clearer next steps when they feel stuck.
Sierra is licensed as an LPC in Arizona and Texas. She works with adults and offers multiple online formats to fit different schedules and lifestyles.
Focus areas and approaches
Everything Sierra lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- ADHD
- Attachment issues
- Body image
- Communication problems
- Control issues
- Divorce and separation
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
Approaches Sierra names
- Eye Movement Desensitization and Reprocessing (EMDR)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How her approaches work in online therapy
Sierra often draws on Eye Movement Desensitization and Reprocessing (EMDR) to help people process disturbing memories and reduce their emotional charge. EMDR sessions focus on revisiting past events in a paced way while building coping skills to stay grounded during the work.She also uses Cognitive Behavioral Therapy (CBT) to identify unhelpful thoughts and test new behaviors. CBT helps break cycles of overthinking and teaches concrete techniques for managing anxiety and depression.
Finding the best approach is a team effort. Sierra will talk with each person about their goals, comfort with different methods, and what feels doable in short and long term work. Together they decide whether to emphasize EMDR, CBT, or a mix of strategies based on needs and preferences.
Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to fit varied routines. Video calls are useful for deeper conversation and EMDR-style work when visual connection helps. Phone sessions can be a good option when bandwidth is limited or a camera feels like too much. Chat and messaging allow brief check-ins, skills practice, or ongoing support between longer sessions. These options make it easier to keep therapy consistent around work, family, and daily life.
We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What concerns does Sierra focus on?
She works with stress, anxiety, depression, trauma and abuse, and ADHD, as well as related issues like panic, self-esteem, and body image.
How would you describe her therapy style?
Her style is collaborative and down-to-earth, mixing listening with practical skills and targeted techniques to address the problems you bring.
What kind of experience does she have?
She has 10 years of experience helping adults navigate anxiety, trauma, ADHD, and mood concerns.
Where is she licensed and based?
She holds a Licensed Professional Counselor credential in Arizona (AZ LPC) and Texas (TX LPC), and practices from Texas.
Can I work with her if I'm outside the United States?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available online?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.
How are fees handled?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What do I do to start therapy?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
Is this your profile?
Ask us to correct details or take the page down.
Contact us