Sara Fierro
If you are exhausted from masking your neurodivergent traits, pushing through intense executive dysfunction, or trying to fit into a mold that wasn't built for you, you can finally stop shrinking here. Many individuals who reach out to me have had past therapy experiences that left them feeling dismissed, misunderstood, or reduced to a diagnostic label. I practice differently. As a dually licensed clinician (LMFT and LPCC), I specialize in walking alongside neurodivergent individuals and high-functioning adults navigating the complex intersections of ADHD, anxiety, and trauma. My approach centers on understanding your natural pacing, gentle nervous system regulation, and deep self-compassion. I actively integrate relational psychodynamic and attachment perspectives with the practical flexibility of Acceptance and Commitment Therapy (ACT) and mindfulness. By blending these reflective models with neurodiversity-affirming, trauma-informed strategies, we will work together to support both your deep emotional processing and your daily executive flow. You don't have to hide who you are.
I attend frequent training to continue learning and building competencies in therapeutic interventions, cultural competency, ethics, and many other areas of the field.
First session
Our first session is all about creating a safe, unpressured space where you can show up exactly as you are. We will begin by exploring what brings you to therapy, unpacking your current challenges, and identifying what feels most heavy or overwhelming in your day-to-day life. Rather than jumping into a rigid, clinical checklist, this session is a collaborative conversation to understand your unique blueprint and personal pacing. We will discuss what your ideal support looks like and begin laying down a loose, flexible roadmap tailored to your personal goals. You will leave this initial session with a clearer sense of how we will navigate your healing journey together, completely free of any pressure to perform or mask.
Strengths
I bring a deep commitment to authentic, neurodiversity-affirming care, blending high-level clinical expertise with a warm, down-to-earth presence. Clients frequently describe me as direct, deeply validating, and genuinely invested in their long-term growth and authentic purpose. One of my greatest therapeutic strengths is the ability to strike a balance between deep, reflective emotional work and practical, real-world strategies. Whether we are untangling old attachment patterns or finding creative, flexible ways to work with your executive function rather than fighting against it, I offer a steady, trauma-informed partnership. I bring an unwavering belief in your innate resilience, a completely non-judgmental space, and a collaborative spirit that honors you as the true expert of your own lived experience.
Ideal clients
I love working with individuals who have a willingness to communicate, learn, and try new things. Because I utilize an eclectic approach to therapy, I work best with clients who do not seek a specific treatment modality, but rather are open-minded to need-based interventions drawn from multiple therapeutic approaches, including Client-Centered, Narrative, CBT, Motivational Interviewing, Solution-Focused, Strength-Based, Holistic, and Interpersonal therapies.. My clients often have had poor experiences with previous providers or are navigating their first therapy experience. I am an ideal match for individuals who are open to a collaborative relationship where they will be validated and empowered, but also challenged to make active progress. Ultimately, my practice is aligned with clients who are driven to overcome barriers from their past, break generational cycles of trauma, and create genuine hope to achieve tangible, lasting change.
Location
Virtual sessions
Identifies as
Other specialties
Doesn't specialize in
Licensed in
- CaliforniaLicense 122776