Siera uses a variety of approaches depending on the individual needs of each person she works with.  She takes the time to establish a solid relationship, discover strengths, and determine which techniques or interventions will be the most effective. Her approach includes but is not limited to the use of Art Therapy, Ketamine-Assisted Psychotherapy, somatic-based interventions, Internal Family Systems, and elements from various cognitive-behavioral therapies. Siera believes that it is very important to engage parents in the therapeutic process of their children.