Dr. Vivian Sierra, LLC, Saint Louis MO
Vivian Sierra from Dr. Vivian Sierra, LLC

Vivian Sierra

Dr. Vivian Sierra, LLC

Maplewood, MO
Mental Health Service Women Stress Management
Mental Health Service Women Stress Management
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About Us

My job and mission is to empower business professionals by working with them to get more money, time and balance with a lot less effort.

As a certified equine specialist, sometimes I use horses to get that job done. I bring over 25 years of experience in helping people to reach raise their bar, achieve success as they define it and improve their bottom line.

I work with busy business professionals wanting more freedom and peace in life and business. This can be busy Women and Moms wanting to have it all. Or Dad and Men

Get into Action with Dr. V. by adding horse power into your bottom line.

As a therapist i see clients with a variety of issues including anxiety/panic, depression, substance abuse and life transitions such as launching, new career, moving, divorce/separation and loss. My life coaching focuses on helping my clients achieve thier goals to make positive changes in their lives. Some common issues include relationships and family, parenting work/business, their happiness factor. I take a holistic approach and work collaboratively with my clients to help them get what they want and need from counseling, therapy and coaching.

The products and services we offer

Counseling Women Coaching Family Therapist Personal Health Couples Alternative & Holistic Health Service Show all 8
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Recent Activity
How do you handle it when you get "bad vibes" from a current client?
Vivian from Dr. Vivian Sierra, LLC Answered this on June 02, 2020
It's my job to understand.  I use the information to help.  Maybe I've missed something, and that I need to address, or maybe it's useful to my client in helping them achieve their goals. (more) It's my job to understand.  I use the information to help.  Maybe I've missed something, and that I need to address, or maybe it's useful to my client in helping them achieve their goals.
As a client, what is the most important criteria in choosing a therapist ie a Mental Health Counselor?
Vivian from Dr. Vivian Sierra, LLC Answered this on April 08, 2019
I'd say all of the above plus a good rapport.  Counseling requires a positive relationship with the therapist along with the skills to address the client's issue, availability and ability to pay.  With the expansion of video counseling and insurance reimbursement, counseling services are more... (more) I'd say all of the above plus a good rapport.  Counseling requires a positive relationship with the therapist along with the skills to address the client's issue, availability and ability to pay.  With the expansion of video counseling and insurance reimbursement, counseling services are more available to more people independent of location.  Video counseling also addresses the time constraints that can interfere with client availabilty and life demands.
What is ONE thing you aim to do in 2019 that is "different" and not necessarily related to improving health, finances, or relationships?
Vivian from Dr. Vivian Sierra, LLC Answered this on January 03, 2019
Create an adventure.  Plan it. Pursue it.   (more) Create an adventure.  Plan it. Pursue it.  
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What do you do for yourself that promotes self love?
Vivian from Dr. Vivian Sierra, LLC Answered this on September 11, 2018
I take care of myself: mind, body and spirit.  I do things that I enjoy.  I surround myself with people that love and support me, and love and support them too. I stay away from negative and toxic people and substances.  I count my blessings, and plan things to look forward to. Most importantly,... (more) I take care of myself: mind, body and spirit.  I do things that I enjoy.  I surround myself with people that love and support me, and love and support them too. I stay away from negative and toxic people and substances.  I count my blessings, and plan things to look forward to. Most importantly, I maintain my integrity.
How do you handle rate/payment for medical billers if you're having them do different things related to insurance, but not necessarily billing?
Vivian from Dr. Vivian Sierra, LLC Answered this on June 27, 2018
I've never had that experience.  It's an interesting question. (more) I've never had that experience.  It's an interesting question.
If you had an employee that you told she was having job burnout, what would you tell her?
Vivian from Dr. Vivian Sierra, LLC Answered this on June 03, 2018
I would talk with her about my concerns for her as well as my concerns regarding any changes in the quality of her work.  I would state  my observations and the facts of the matter to stay on topic.  It's important to balance the people aspect with the business goals.  The business goals also... (more) I would talk with her about my concerns for her as well as my concerns regarding any changes in the quality of her work.  I would state  my observations and the facts of the matter to stay on topic.  It's important to balance the people aspect with the business goals.  The business goals also have to do with providing service to people as well. In my business it's sometimes challenging to keep a business mind, and not be your colleagues coach or counselor. 
What mental health scheduling system do you use?
Vivian from Dr. Vivian Sierra, LLC Answered this on May 31, 2018
It is part of my practice management software, Theranest. (more) It is part of my practice management software, Theranest.
When you're feeling overwhelmed and frustrated, what do you look up to solve your challenge?
Vivian from Dr. Vivian Sierra, LLC Answered this on May 06, 2018
Thank you for this question.  I have to admit I'm not sure what you mean by  "look up" in this context.  There are a variety of options that I recommend to alleviate overall distress.  I always recommend guided meditations which are easily available on youtube or apps.  Specifically, I would... (more) Thank you for this question.  I have to admit I'm not sure what you mean by  "look up" in this context.  There are a variety of options that I recommend to alleviate overall distress.  I always recommend guided meditations which are easily available on youtube or apps.  Specifically, I would recommend breathing meditations, body scan meditation, progressive muscle relaxation and for those who are visual,  guided imagery.  I recommend that this be a daily practice.  Exercise is key.  For example taking a walk...no matter how brief helps.  If you can muster up a minimum of 35 minutes and break a sweat...that's optimal.  And of course,  sunshine always helps along with some support. Depending on how long you've been feeling this way, the level of intensity and circumstances, I always recommend talking to a professional. 
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