Tierra Sheets (she/her/hers)

My expertise on anxiety includes knowledge of types of anxiety disorders and symptoms and causes, including genetic, neurological, environmental, and cognitive factors, Also coping mechanisms and treatment approaches, such as cognitive-behavioral therapy (CBT), mindfulness, medication, and lifestyle changes, How anxiety impacts daily functioning, relationships, and overall well-being and strategies for prevention and long-term management.

My expertise on self-esteem includes the of self-esteem, including childhood experiences, social influences, and internal belief systems. The ability to identify low self-esteem patterns, such as negative self-talk, perfectionism, or people-pleasing. Also, evidence-based strategies to build self-worth, like cognitive restructuring, affirmations, goal setting, and boundary setting. All while understanding the impact of self-esteem on relationships, achievement, and mental health.

My expertise on polyamory and open relationships include deep knowledge of ethical non- including distinctions between polyamory, open relationships, relationship anarchy, and swinging. Understanding the emotional landscape, such as managing jealousy, insecurity, attachment styles, and comparisons. Guiding communication and boundary-setting skills, vital for navigating multiple relationships honestly and respectfully. Experience with consent-based relationship structures and agreements.

Familiarity with the four key DBT skill areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. Experience applying DBT tools to help individuals manage intense emotions, reduce self-destructive behaviors, and improve relationship. Understanding of the balance between acceptance and change. Ability to support clients in building real-life coping skills through structured exercises, validation, and behavioral strategies.

Knowledge of relational dynamics, including attachment styles, communication patterns, and interpersonal conflict. Experience helping individuals or couples explore how past and present relationships shape their behaviors and self-perception. Use of evidence-based approaches, such as Emotionally Focused Therapy (EFT), Imago, or systems theory. Skilled in creating safe, empathetic spaces where clients can build trust, deepen connection, and develop healthier relational patterns.

Awareness of how culture, race, ethnicity, religion, gender, and social context influence mental health and therapeutic needs. Ability to create a safe, inclusive space where clients feel seen, respected, and understood without judgment or assumption. Experience adapting therapeutic approaches to align with clients' cultural values, communication styles, and lived experiences. Commitment to ongoing self-reflection and learning to recognize personal biases and stay informed about cultural issues