- Stress and anxiety
- Family of origin
- Sexual wellbeing topics
About Siyi
Siyi Lai is a licensed marriage and family therapist (LMFT) practicing in New York with four years of clinical experience. She works with stress, anxiety, relationship and intimacy-related issues, self-esteem concerns, and people coping with life changes. She speaks English, Mandarin, and Cantonese.
Lai often helps people who are trying to understand patterns that began in their family of origin. She talks through how early roles, expectations, and attachment styles show up now. Sessions commonly cover communication struggles, problems with closeness or avoidance, and questions around identity and intimacy.
Her background includes work as a sex therapist and experience across different careers and life stages. That mix of professional training and lived experience shapes how she approaches practical problems. Conversations tend to be straightforward and focused on specific difficulties rather than abstract theory.
In sessions she addresses topics such as abandonment, attachment issues, blended family adjustments, body image, caregiver stress, control issues, and divorce or separation. Discussions can include concerns related to BDSM, kink, and alternative sex culture when relevant to the client's goals.
People can expect help developing clearer communication, setting boundaries, and coping strategies for anxiety or stressful transitions. She supports exploration of gender dysphoria, guilt, shame, forgiveness, and rebuilding trust after relational ruptures. To begin, clients are guided to select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Approaches used in online sessions
Evidence-based therapeutic techniques are used to help people change unhelpful patterns and improve relationships. One common approach focuses on attachment-related dynamics, helping people recognize how early bonds shape trust, closeness, and avoidance in adult relationships. This work often involves mapping interaction patterns and practicing new ways to communicate needs.A second approach emphasizes skills for anxiety and stress management. That usually means learning practical coping strategies, short behavioral experiments, and pacing changes so daily life feels more manageable during transitions.
Finding the right approach is part of the work. The therapist will discuss options with the client and decide together which techniques fit the person's goals, concerns, and preferences. That collaborative process can include trying different strategies and adjusting them as progress is tracked.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy around work, caregiving, or travel, and they can reduce time spent commuting. Some formats also let people choose a shorter check-in or a session without video when that better fits the day.
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 problems does she help with?
She works with stress, anxiety, relationship and intimacy-related concerns, self-esteem issues, and people coping with life changes.
Does she address early family patterns and origins?
Yes. She helps people understand how family of origin roles and attachment patterns continue to affect adult relationships.
What is her approach or style in sessions?
She uses evidence-based therapeutic techniques and combines professional training with practical, experience-informed conversation to focus on concrete problems.
How long has she been practicing?
She has four years of clinical experience as an LMFT working in New York.
What credentials and location are listed?
She is a New York LMFT and practices in New York.
Which languages are supported?
Sessions are offered in English, Mandarin, and Cantonese and international clients are not accepted.
How are sessions paid for?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I get started?
Use 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, use the emergency numbers. Looking for someone else? Find them by surname.