If you're tired of managing anxiety without real change, you're not alone. Many people feel stuck in reactive patterns—overthinking, withdrawing, or getting overwhelmed—without understanding why.
I'm Dr. Sierra, a licensed psychologist who created a framework that goes beyond symptom management. Instead of just coping with anxiety, we'll use it as a compass to understand the deeper patterns keeping you stuck, so you can finally experience the meaningful, lasting change you've been searching for.
Telehealth therapy in OR, UT, & WA (pending)
I developed the Watermark Framework because I kept seeing the same pattern in my practice: people who were smart, self-aware, and doing all the "right" things—yet still stuck in the same cycles. They could identify their anxiety, describe their triggers, even predict their reactions. But understanding wasn't leading to change.
I realized that most approaches focus on managing symptoms without addressing the deeper patterns driving them. So I created a framework that helps people understand not just what they're feeling, but why they keep responding the same way—and more importantly, how to change it. The Watermark Framework emerged from years of working with clients who were tired of surface-level solutions and ready for meaningful, lasting change.
Think astrology, but it explains why you process feelings out loud… or need three business days to respond.
A watermark identifies two key dimensions that explain why you keep getting stuck in the same patterns.
While we can all respond in all of the ways, we each have core patterns that formed early in life to keep us safe and connected. These patterns still shape how we navigate relationships and stress today. Your watermark reveals these patterns, giving you the clarity to build the life and relationships you want.
Use the guide below to reveal your watermark.
Intuitive, creative, & emotionally avoidant
At your best: Open, present, authentic, grounded
At your worst: Passive, withholding, insecure
Under stress: Gets small and hides away
You process everything internally first. Your inner world feels safer than risking being truly seen, so you keep your depth to yourself.
When you're at your best: You're courageously open and deeply receptive, building genuine intimacy without losing yourself.
When anxiety takes over: You withdraw, either positioning yourself as more emotionally evolved (using depth as a shield) or becoming overly dependent and deferring decisions to avoid responsibility.
What this looks like:
Personal growth: Share your inner world before it's fully processed. Stay open even when it's messy. Communicate directly instead of hoping others will intuit your needs.