- Guilt and shame
- Attachment issues
- Sexual well-being
About Siyi
Siyi Lai is a New York LMFT with four years of clinical experience. She works with adults facing stress, anxiety, relationship and intimacy-related issues, low self-esteem, and life changes. She also addresses concerns such as abandonment, attachment struggles, body image, caregiver stress, and guilt and shame.
She draws on both professional training and lived experience to talk through sexual well-being and connection. Sessions focus on concrete patterns in relationships and everyday moments where shame or guilt shows up. Conversations aim to clarify what matters to the client and to identify small, practical steps forward.
Siyi often helps people untangle attachment and communication patterns. She pays attention to how past family dynamics shape current reactions. This includes work around forgiveness, blended family stress, divorce and separation, and family of origin issues.
She is familiar with kink and alternative sex culture and discusses these topics without judgment. She also supports people navigating gender dysphoria and intimacy when identity or body image is involved. Conversations can address control issues and avoidant personality patterns that get in the way of closer relationships.
Sessions are carried out in English, Mandarin, and Cantonese. Her approach balances practical skills with exploration of personal history. To begin, visitors are asked to complete a short matching questionnaire and schedule a first session via the See online therapy options button.
How therapeutic approaches are used in online sessions
Evidence-based techniques often focus on two complementary areas: attachment-focused work and practical skills training. Attachment-focused work looks at how early relationships shape current reactions and helps identify patterns that fuel guilt or shame. Practical skills training teaches concrete tools for communication, boundary-setting, and managing anxiety so daily interactions feel more manageable.Finding the right mix of approaches is part of the process. The therapist and client decide together which methods fit the person’s needs and goals. That collaborative decision is revisited as issues change or new priorities emerge.
The original profile does not list specific session formats, so confirm available options before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when time is limited, and remove travel time between work and appointments. If a client prefers Mandarin or Cantonese, sessions can be held in those languages to make discussion smoother and more direct.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
New York
Languages
English, Mandarin, Cantonese
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship and intimacy issues, low self-esteem, and coping with life changes. Additional areas include attachment, abandonment, body image, caregiver stress, and guilt and shame.
How would she approach shame or guilt in sessions?
She combines discussion of personal history with practical steps to notice and shift patterns. Conversations aim to make feelings clearer and identify manageable actions.
What experience does she bring?
She has four years of clinical experience and also draws on lived experience related to relationships and life transitions.
What are her credentials and where is she based?
She is an LMFT licensed in New York and practices from New York.
Which languages are supported in sessions?
Sessions are offered in English, Mandarin, and Cantonese.
Can people outside the U.S. work with her?
She does not accept international clients at this time.
What formats are available for sessions?
The original biography does not list specific session formats. Please confirm current session options before booking.
How are fees handled and how do I start?
Cost varies with location and sessions use a subscription that can be canceled at any time. To start, select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.