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Siena Vaccara, Ed.M, M.A, LMHC

Licensed Psychotherapist in New York State

LGBTQIA+ & Reproductive Well-Being Specialist 

Contact Me:
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I'm Siena, a queer, trauma-informed Psychotherapist, Doula, Yin-Yoga Instructor and lifelong Musician from Brooklyn, NY.


As a Psychotherapist, I believe in encouraging personal growth through education, cultural awareness, and building trusting relationships. I know that patients are experts in their own experiences and understand the importance of the collaborative therapeutic space being unbiased, open-minded, and strength-driven. I treat individuals and couples of all ages with concerns ranging from interpersonal conflict to family planning, identity, mood fluctuations, trauma and stressful life events.


I received my masters in Mental Health & Psychological Counseling from Columbia University, with specialized training in Reproductive & Maternal Well-Being. I am also a DONA International Doula, which means I am passionate about providing holistic focused care to people as they navigate premenstrual, STD, fertility, family planning, prenatal, loss or postpartum mental health & adjustment concerns.


As a queer therapist, I hold additional degrees in Gender Studies, and have expertise in LGBTQIA+ affirming care. My goal is to always build a safe, inclusive healing environment, where individuals can nurture their identities, build community and receive resources with advocacy that is whole-person focused.


In session with me, you should expect to feel heard, feel at ease, feel understood and reassured. I will guide you through examining self-care measures and communication strategies - using compassion to ground yourself in your values and your goals. I practice with Feminist and Narrative treatment plans, as well as Cognitive Behavioral and Person-Centered techniques, to embrace an integrative psychotherapy approach that honors the unique needs of individuals. I also encourage Somatic (mind-body) strategies to increase emotional regulation. 

My clinical experiences include daycare child developmental monitoring; group private practice; hospital settings: volunteering at Mount Sinai & New York Memory Center; and school settings: providing mental health care & neurodiversity services to CUNY & SUNY student populations. I am also a psycho-education content writer & consultant. For separate information about my role as a Doula + Yoga Instructor please visit 

- AR

"Siena has been amazingly helpful on my mental health journey as a new parent. She is kind, compassionate and always has many tools to help me help myself feel better. I cant recommend her enough as a counsellor - she will make you feel seen and heard."


New York State Education Department

LMHC - Licensed Mental Health Counselor / Psychotherapist


Columbia University 

Ed.M. - Mental Health Counseling 

M.A. - Psychological Counseling 

Adv.Cert. - Sexuality, Women & Gender: Reproductive & Maternal Well-Being


State University of New York College at Purchase

B.A. - Psychology 

B.A. - Gender Studies

Minor - Music: Studio Composition 

Certificate in Early Childhood Development

Research Foundation for Mental Hygiene & NYS Psychiatric Institute

Acute Trauma, C-SSRS Screening & Stanley-Brown Safety Planning

DONA International 

Childbirth Doula Training

Anjali Holistic Health Academy 

Yin & Prenatal Yoga Instruction 




- American Counseling Association

- American Psychological Association 

- Wellness Road Psychology 

- Doulas of North America

- Manhattan Alternative: Kink, Poly, Trans + LGBTQ Affirmative Providers

- Society for Sexual, Affectional & Gender Expansive Identities

- Coalition of Clinician Survivors

-Bizone: Bisexuality-Aware Professionals

- Psi Chi: The International Honor Society In Psychology 

- Backline: Mental Health & Wellness for the Music Industry 

- Women's Mental Health Consortium 


*If you are experiencing a Psychiatric Emergency, please dial 911 or go to your nearest emergency room.
*For immediate support, please dial 988 to speak with a 24/7 crisis counselor.

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