Set Up A Discovery Session.
If this is your first visit for Estrangement coaching, a discovery session is a perfect place to begin with a few questions. We’ll begin with a 45-minute initial session—available either in person or virtually from anywhere—to start creating a personalized plan for moving forward.
Topics for discussion during our time together:
- What is your history of estrangement from your adult child and/or grandchild(ren)?
- Why are you seeking help now?
- What steps have you taken in the past? What has worked? What hasn’t worked?
- What professional services have you used in the past — what has been helpful / what hasn’t been helpful?
- If there are sons and daughters-in-laws involved, what is their role in your experience?
- Review amends letter and other communications
- Common mistakes parents make when attempting to resolve estrangement
- Review the history of mental or emotional issues that impact the ongoing estrangement
- Review the impact and importance of difference regarding gender issues upon the estrangement, including LGBTQ+, lifestyle and values.

Outcomes we’ll pursue:
- Establish potential ways forward together, beginning with creating strategies focusing on one step at a time
- Equip you with coping skills throughout to manage and soften the pain of family estrangement
- Develop a toolkit to implement the strategies we identify in your day-to-day life
What My Clients Say
Hear what clients had to say about their own experiences.
“Dr. Sierra is knowledgeable about parental estrangement and strategies to get through it with and without reconciliation attempts as well as radical acceptance.”
– Estranged Mother
“Dr. Vivian brainstormed strategies with me, for me, the estranged mother, and also helped me to find my way to myself. I continue to heal, and Dr. Vivian is definitely part of that journey.”
– Estranged Mother
“I have had the pleasure of working with Vivian more than once. Her professionalism is top notch. She understands and has a way of explaining, and communicating that with her patients. I highly recommend Vivian and her services.”
– Estranged Mother & Grandmother
“Vivian’s expertise and compassion has helped us to navigate through some rather difficult issues. Without Vivian’s help, we would likely continue to pursue our prior ineffective efforts and wonder why they were not working.”
– Estranged Father & Grandfather