Dr. E. Rose Sierra (she/her)


"Not everything that is faced can be changed, but nothing can be changed until it is faced." ~J. Baldwin *Telehealth: OR WA TX CO*

Psychotherapist in Houston, TX

  • Individual
  • Adolescent/Teen

About My Clients

I'm a trauma-informed, anti-racist, intersectionally-minded existential psychotherapist specializing in decolonization work for healers & helping professionals (including interns and practicum students), disabled folks, people with vitiligo, first-generation college students, members of the LGBTQIA2S community, people struggling with addictive behaviors, people with high ACE scores, weary parents, folks dealing with trauma and grief, and active allies.

My Background and Approach

I use narrative therapy to empower clients in grappling with the lifelong existential questions of: Who am I? Where do I belong in the world? and What are my meaning and purpose? These questions are umbrellas under which many of our human struggles are nestled. When our life experiences cause us to question our identity, sense of belongingness, or reason for being, we experience an existential crisis. This can make us feel disconnected, alienated, hopeless, helpless, empty, angry, anxious, sad, or any number of unpleasant emotions. When we face our existential questions with internal bravery and authentic connections to others, we can reclaim the pen and rewrite our life story to emerge stronger and better equipped to handle what life throws in our path. During this work, I help fill your coping skill toolbox with strategies from Dialectical Behavior Therapy, Cognitive Behavior Therapy, Solution Focused Brief Therapy, Acceptance & Commitment Therapy, and other therapies as needed.

My Personal Beliefs and Interests

I'm a proud queer-identified Tejana member of the disability community, former teen mom, and first-generation college grad raised in generational poverty. My work is informed by my lived experience, including my journey as a woman of color with vitiligo universalis and my lifelong quest to confront my own internalized misogyny, racism, and ableism as a Mexican-American with both settler and Indigenous lineage (Nahua/Otomi/Zapotec). I'm a Buddhist in the Mahāyāna tradition and a loving biological and adoptive mother of several beautiful LGBTQI2S folx. Contact me for more details about insurance options available in your state.

Insurance Plans Accepted
  • Cigna
  • Oscar
  • Optum
  • Blue Cross Blue Shield (BCBS)
  • United Healthcare
  • Friday
I offer online counseling in the following states:
I have experience with the following
  • Buddhism
  • Christianity
  • Interfaith
  • Multifaith

At A Glance

  • Experience: 15 years of practice
  • Languages: English
  • Rate: $125 - 175/session

Reach out to Dr. E. Rose