- Stress and anxiety
- LGBT concerns
- Trauma and grief
About Sierra
Sierra Johnson is a Licensed Professional Counselor (LPC) practicing in Virginia with seven years of experience. She works with adults facing stress, anxiety, depression, grief, trauma and abuse, and LGBTQ concerns. Sierra focuses on practical support for people feeling isolated, struggling with communication, or questioning life direction.
Sierra uses evidence-based therapeutic techniques in sessions. She pays attention to how identity and discrimination shape daily life. That means conversations will include how systems and culture affect feelings and choices.
Sessions often address attachment patterns, mood and panic symptoms, obsessive-compulsive behaviors, posttraumatic stress, and substance-related challenges. Sierra also helps people coping with relationship change, caregiving demands, pregnancy or end-of-life concerns, and questions about sexuality, gender identity, or alternative relationship dynamics.
Her style is collaborative and person-centered. She works together with each person to set goals and check what is helpful. Conversations are practical and focused on what people can do differently between sessions.
Sierra also supports people dealing with family of origin issues, abandonment, codependency, dissociation, and communication problems. She can talk through concerns tied to aging, antisocial personality presentations, DMDD, and co-morbidity. Her practice is based in Virginia and sessions are conducted in English.
How evidence-based techniques translate to online sessions
Many of the evidence-based techniques Sierra draws on focus on skills and structured conversation. For example, cognitive approaches help identify unhelpful thinking patterns and develop alternative responses to anxiety and depression. These methods teach concrete skills that can be practiced between sessions.Another common approach she uses involves trauma-informed work that focuses on managing symptoms and building regulation skills. This helps people who have panic, posttraumatic stress, dissociation, or strong emotional reactions to feel more steady over time.
Finding the right approach is part of the work. Sierra collaborates with each person to figure out which techniques match their needs, goals, and preferences. That means checking in early, adjusting methods, and combining tools where useful so the plan fits the person rather than fitting them to a single method.
Confirm the current session options before booking, as formats are not listed here. Online sessions can make it easier to fit therapy into a busy life by removing travel time, allowing shorter check-ins around work or school, and offering choices about whether to use video or another agreed format. These practical benefits help people maintain momentum while managing early-adult responsibilities.
Areas of expertise
Primary focus
Additional focus areas
Experience
7+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
Sierra works with stress, anxiety, depression, grief, trauma and LGBTQ concerns, plus related issues such as attachment, substance challenges, and communication problems.
How would she describe her therapeutic style?
Her approach is collaborative and person-centered, focusing on practical steps and shared goal-setting during sessions.
How much clinical experience does she have?
She has seven years of professional experience as an LPC working with adults on a range of emotional and relational issues.
What credential does she hold and where is she based?
She is a Licensed Professional Counselor (LPC) practicing in Virginia.
Can people use a language other than English?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.