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Bisirat Sium

Profile / United States

Bisirat Sium, LCSW

Texas

LCSW - Stress and relationship concerns

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  • CBT strategies
  • Mindfulness skills
  • Trauma informed work

About Bisirat

Bisirat Sium is an LCSW (Licensed Clinical Social Worker) with six years of clinical experience based in Texas. She works with people facing stress, anxiety, addictions, relationship concerns, trauma and abuse, and depression. Bisirat also focuses on issues such as abandonment, attachment concerns, body image, communication problems, and life purpose.

She uses practical strategies to help people notice patterns that keep them stuck. Cognitive Behavioral Therapy (CBT) is one of the approaches she uses to identify unhelpful thoughts and change behaviors. She also draws on Acceptance and Commitment Therapy, Dialectical Behavior Therapy, mindfulness, motivational interviewing, and client-centered methods depending on the client's needs.

In sessions she addresses both emotional wounds and day-to-day problems. That can mean working through shame, guilt, feelings of emptiness, or the fallout from infidelity and separation. It can also mean planning concrete steps for workplace stress, addiction recovery, or blended family challenges.

Bisirat pays attention to cultural background and identity and how these shape experiences. She helps people strengthen communication skills, process grief, and consider personal values and goals. The work often moves between skill-building and talking through painful memories.

To get started someone completes a short matching questionnaire and schedules a first session. The first meetings focus on what matters most now and on practical next steps the person can try between sessions.

Using CBT and related approaches in online sessions

Bisirat commonly uses Cognitive Behavioral Therapy to help people identify patterns of thinking that lead to stress and unhelpful behaviors. CBT sessions focus on practical experiments and short exercises that can be practiced between meetings. Acceptance and Commitment Therapy is used alongside CBT to clarify values and encourage actions that matter even when difficult feelings remain. Client-Centered Therapy supports the process by keeping the client's goals and perspective central to planning and change.

Finding the right mix of methods is collaborative. Bisirat will work with each person to decide which approaches fit their goals, needs, and preferences. That discussion often happens in the first few sessions and can change as goals evolve.

Session formats are not specified in the biography, so confirm current online options before booking. In general, online work can make it easier to schedule shorter check-ins, reduce travel time, and fit therapy into a busy day. It also allows practicing skills in the settings where problems occur and trying homework between meetings.

Areas of expertise

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCommunication problemsDivorce and separationDrug and alcohol addictionEmptinessFamily problemsGuilt and shameImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesVeteran and Armed Forces IssuesMoney and financial issuesMulticultural concernsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

6+ years

Listed in

Texas

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with stress, anxiety, addictions, relationship issues, trauma and abuse, and depression, plus related topics like body image and communication problems.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people spot unhelpful thoughts and try different responses. CBT is paired with skills practice so clients can test new behaviors between sessions.

What is her clinical background?

She is an LCSW with six years of experience working on a range of concerns including trauma, addiction, and life transitions.

Where is she based and licensed?

She practices in Texas and holds the credential TX LCSW.

Which languages are supported in sessions?

Sessions are offered in English.

Can people outside the United States work with her?

She is not accepting international clients at this time.

How are sessions scheduled and paid for?

Sessions use a subscription that can be canceled at any time and cost varies with location.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Bisirat Sium

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