Siqua Asgaya Tierramar, MA, LPC, LAC

I provide an affirming, compassionate space for LGBTQIA+ individuals to explore identity, relationships, life transitions, spirituality, and mental health without judgment. My approach honors the complexity and uniqueness of each person’s lived experience while supporting authenticity, empowerment, and healing. All genders, sexual orientations, and expressions are welcome here.

Depth psychotherapy explores the deeper layers of the psyche, including unconscious patterns, dreams, symbols, emotions, and the inner stories that shape our lives. Drawing from Jungian, humanistic, and transpersonal perspectives, this work supports meaningful transformation rather than simply symptom reduction. Therapy becomes a space for self-discovery, healing, and reconnecting with a more authentic and fully embodied sense of self. 

Ketamine-Assisted Psychotherapy (KAP) can help open new pathways for healing, insight, and emotional transformation, particularly for those struggling with depression, trauma, anxiety, and other persistent challenges. I offer a grounded, supportive, and trauma-informed approach that integrates preparation, intention setting, and post-session integration to help make meaning of the experience. This work honors both the psychological and deeply human dimensions of healing in a safe and compassionate therapeutic environment.  

Psychedelic experiences can open profound emotional, spiritual, and psychological insights that may feel difficult to fully understand or integrate alone. I provide grounded, trauma-informed support to help you process and meaningfully integrate these experiences into your daily life, relationships, and personal growth. Our work may include preparation, reflection, embodiment, and exploring the deeper meaning that emerges through altered states and expanded consciousness.

I provide supportive, strengths-based therapy for individuals with ADHD and diverse neurotypes, honoring that different ways of thinking, feeling, and experiencing the world are not flaws to be fixed. Together we explore practical strategies for focus, emotional regulation, relationships, executive functioning, and self-understanding while also recognizing and cultivating your unique gifts. Therapy is grounded in compassion, authenticity, and working with your mind rather than against it. 

I offer an affirming and culturally respectful space for individuals walking esoteric, pagan, occult, magical, mystical, and alternative spiritual paths. Therapy can support the integration of ritual practice, spiritual experiences, initiatory work, shadow work, and questions of meaning and identity without pathologizing your beliefs or practices. Whether your path is earth-based, ceremonial, devotional, ancestral, or deeply personal, your spirituality is welcomed as a meaningful part of the therapeutic journey.

Clinical assessments and documentation for individuals seeking Emotional Support Animal accommodations, when clinically appropriate.

Clinical supervision for counselors seeking professional growth, support, case consultation, and development in trauma-informed therapeutic practice.