Who does Dr. Sierra work with?

Dr. Sierra specializes in working with adults in their 20s and 30s who are navigating challenges of early adulthood including career stress, relationships, and identity exploration.

What issues does Dr. Sierra help with?

Dr. Sierra helps with anxiety, trauma, stress, burnout, relationship challenges, grief, life transitions, ADHD, panic attacks, and eating disorders.

What is Dr. Sierra's therapeutic approach?

Her approach is integrative, collaborative, and tailored to your unique needs. It combines evidence-based techniques with a warm, action-oriented style.

I'm Dr. Sierra Garthwaite

Name: Sierra Holistic Therapy
Price range: $$$

Welcome,

From the outside, life may look fine. You're getting things done, showing up for everyone, and holding it together, but inside you may be feeling overwhelmed, anxious, and burned out.

Between career stress, relationship challenges, past traumas, family stressors, and major life transitions, it's understandable to feel stuck and emotionally exhausted.

The fact that you're reflecting on these experiences and seeking support speaks to your resilience and strength.

You deserve a space where you feel truly listened to, deeply supported, and equipped with practical tools to help you thrive.

About Dr. Sierra →

I'm Dr. Sierra, a licensed clinical
psychologist with over 10 years of experience supporting adults. I'm especially passionate about helping individuals feel more confident in themselves, connected to others, and fulfilled.

My background includes providing therapy support for the faculty and staff at UCSF, community mental health centers, and universities. Together, these experiences inform a holistic mind-body, evidence-based, and action-oriented style that helps clients create meaningful, lasting change.

My therapeutic style is integrative, collaborative, and tailored to your unique needs, personal history, and strengths. Above all, I strive to create a welcoming and supportive space where you can feel safe to fully be yourself.

A gentle reminder: You're not alone and meaningful positive change is possible.

I'm glad you're here.

Here's What Life Can Look Like

You move beyond simply "getting through" the week and begin feeling more connected, joyful, and rooted in your values.

Individual Therapy

Need a safe space to be every version of yourself?

You learn practical evidence-based tools to navigate anxiety, overthinking, burnout, and emotional overwhelm with greater self-trust.

You feel more confident setting boundaries, communicating your needs, and showing up authentically in relationships without constant guilt, people-pleasing, or exhaustion.

You finally understand the patterns keeping you stuck so stress no longer feels like it's ruining your day.

You build practical strategies to start tasks, improve follow-through, and regain momentum during difficult or overwhelming seasons.

You begin healing wounds from past experiences and trauma so you can feel safer in your body, more emotionally resilient, and less controlled by the past.

You gain a toolbox of evidence-based somatic resources to calm your nervous system, release stress, and feel more emotionally balanced in your day-to-day life.