Vivian Marie Sierra, PhD, LMFT, Marriage & Family Therapist in Saint Louis
I bring over 25 years of experience in helping people improve their lives. With compassion and support, I work with individuals, couples and families who are in recovery from substance abuse and addiction. I also work with those dealing with anxiety/panic, depression, bipolar, codependency, and life transitions such as launching, new career, moving, divorce/separation, being single, parenting and loss. I take a holistic approach and work collaboratively with my clients to help them get what they want and need from counseling, therapy and life coaching.
Focusing on strengths, solutions, and a positive approach, I offer effective skills and techniques to take home and use to make positive and healthy change. I consider the whole person, meaning I take a look at the physical, mental, social, cultural, emotional, intellectual and spiritual aspects of each client.
I integrate adjunct therapies such as relaxation, mindfulness, stress management, couples / family work, including evidence-based practices such as CBT, DBT and family systems. When counseling isn't exactly what you need, I offer life coaching to empower women dealing with today's multiple challenges. Call Dr. Vivian for a free 20 minute consultation.
Call or Email Vivian Marie Sierra for a free consultation now - (618) 494-6237


  • Years in Practice: 20+ Years
  • School: St. Louis University
  • Year Graduated: 1997
  • License No. and State: 2014023726 Missouri


  • Avg Cost (per session): $80 - $150
  • Accepts Insurance: Yes
  • Accepted Payment Methods: American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Visa

Accepted Insurance Plans
  • Aetna
  • Anthem
  • Cigna
  • Out of Network
Verify your health insurance coverage when you arrange your first visit.

Additional Credentials

  • Membership: American Association for Marriage and Family Thera/Clinical Status
  • Member Since: 2001
  • Certificate: Institute for Rapid Resolution Therapy/Rapid Resolution Therapy
  • Certificate Date: 2014


  • Depression
  • Anxiety
  • Life Coaching


  • Addiction
  • Alcohol Abuse
  • Anger Management
  • Behavioral Issues
  • Bipolar Disorder
  • Codependency
  • Coping Skills
  • Divorce
  • Drug Abuse
  • Dual Diagnosis
  • Family Conflict
  • Happiness, Life balance, Health
  • Life Transitions
  • Marital and Premarital
  • Parenting
  • Relationship Issues
  • Self Esteem
  • Substance Abuse
  • Women's Issues

Mental Health

  • Elderly Persons Disorders
  • Mood Disorders

Client Focus

Ethnicity: African-American, Hispanic and Latino


  • Adolescents / Teenagers (14 to 19)
  • Adults
  • Elders (65+)


  • Veterans

Treatment Approach

Treatment Orientation

  • Cognitive Behavioral (CBT)
  • Culturally Sensitive
  • Dialectical (DBT)
  • Family / Marital
  • Family Systems
  • Mindfulness-based (MBCT)
  • Multicultural
  • Narrative
  • Solution Focused Brief (SFBT)


  • Individuals
  • Couples
  • Family
Last Modified: 15 Aug 2017
Vivian Marie Sierra, PhD, LMFT, Marriage & Family Therapist in Saint Louis

Vivian Marie Sierra

Marriage & Family Therapist, PhD, LMFT