Sierra Hofmann
(she/her)
My therapy style is direct, grounded, and collaborative. I blend evidence-based approaches like CBT and behavior therapy with a no-nonsense, supportive presence to help clients build practical tools, shift unhelpful patterns, and create meaningful change. I am also known to bring a bit of humor to the session where needed. I work to meet clients where they are whether it be related to commitment to therapy, processing concerns or other barriers to meaningful work.
Get to know me
In our first session together, here's what you can expect
Our first session will be a time to get to know each other and determine if we are a good working relationship. Though the therapist in me will ask a lot of questions, please know that I will not judge and this is just a way to identify our plan. The questions can be answered briefly allowing us to identify areas that we may explore more later. This is also a time to ask me a few questions about my work, my approach and learn if you are comfortable with my personality.
The biggest strengths that I bring into our sessions
I am told that I am direct and can be when it is appropriate for a client. I may push you a bit out of your comfort zone but only in the spirit of making process. I will never push more than you can handle. I will also support you fully through the process. I also try to bring a bit of humor to our sessions when needed and appreciated. Ultimately may approach is to remind you that we are two imperfect humans working on a solution you need and want to live your best life.
The clients I'm best positioned to serve
I work with individuals, couples, and families navigating a wide range of concerns including substance use, communication challenges, life transitions, and identity development. I also have experience supporting parents and individuals with intellectual and developmental disabilities (IDD). My sessions are inclusive, action-oriented, and focused on helping clients develop the insight and skills they need to move forward in a way that works for them.
Specialties
Top specialties
ADHD
Addiction
Autism
Other specialties
Anxiety
Coping Skills
Depression
I identify as
Woman
Serves ages
Adults (18 to 64)
Elders (65 and above)
Licensed in
Florida
Accepts
Aetna
Location
Virtual
My treatment methods
Eclectic
I choose multiple evidence based models based on client needs. Some methods used include Motivational Interviewing, CBT, ACT and Bowen Family Systems Theory. I also modify many approaches based on differences in cognitive and learning ability.
2 ratings with written reviews
June 8, 2026
I just love my sessions with her. Despite my issues and whatever may be going on in life at the time, our sessions are always a pleasure. On the more practical side of things, I like that she outlines concrete tasks for me, and I appreciate the insight she often provides. I've had some breakthroughs just talking with her during our sessions.
Verified client, age 35-44
May 8, 2026
What brought me here was that she had listed my issue among her main areas of experience, and I'm glad I went through with it. She was so friendly, warm, and felt genuine. A pleasure to talk to; I felt completely at ease, and I didn't want the session to end.