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Siyi Lai

Therapist · New York

Siyi Lai

LMFT

Licensed Marriage and Family Therapist - Relationships and Intimacy

See online therapy options
Experience
4 years
Based in
New York
Sessions
Online
Languages
English, Mandarin, Cantonese
  • Stress and anxiety
  • Attachment and abandonment
  • BDSM and kink 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 also focuses on attachment and abandonment concerns, body image, communication problems, and sexual culture topics such as BDSM and kink. Sessions are offered in English, Mandarin, and Cantonese.

She draws on professional training and personal life experience to talk through sexual well-being and connection. Conversations are direct and practical. She helps clients name patterns, notice how past relationships affect current ones, and try new ways of relating. Meeting real-life problems with clear steps is central to her approach.

Siyi pays attention to relationship dynamics and attachment styles. She helps people untangle family of origin issues, blended family stresses, divorce and separation effects, and caregiver strain. Work on intimacy often includes exploring boundaries, consent, desire differences, and alternative sexual cultures in plain terms.

For people questioning purpose after a life change, she helps clarify values and next steps rather than promising fixed outcomes. Therapy balances talking with concrete skills for managing anxiety, improving communication, and rebuilding self-esteem. Her aim is practical progress you can test between sessions.

To begin, select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. Costs vary with location and use a subscription that can be canceled at any time.

License and NPI on record

LMFT
New York · 002614

As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesIntimacy-related issuesSelf esteemCoping with life changes

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressCommunication problemsControl issuesDivorce and separationFamily of origin issuesFamily problemsForgivenessGender dysphoriaGuilt and shameInfidelityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMulticultural concernsPolyamory / non-monogamous relationshipsPregnancy and childbirthSelf-loveSex addictionSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issues

Experience

4+ years

Credentials

New York

Languages

English, Mandarin, Cantonese

How therapeutic approaches translate to online work

Two common evidence-based approaches she draws on are attachment-focused work and skills-based interventions. Attachment-focused work looks at how early relationship patterns affect current trust and intimacy. It helps people understand their reactions and try new ways of connecting. Skills-based interventions teach concrete tools for managing anxiety, improving communication, and regulating strong emotions. These tools are practical and can be practiced between sessions.

Choosing the right approach is a collaborative process. The therapist and client review goals, current struggles, and preferences together. They may try a few methods and adjust based on what feels most helpful. This lets the work stay focused on immediate concerns like feeling stuck, relationship doubts, or questions about life purpose.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy week, shorten travel time, and allow for brief check-ins when schedules are tight. It also supports working with relationship and intimacy topics through conversation and practical exercises without promising a particular service format.

Frequently asked questions

What kinds of concerns does she address?

Siyi works with stress, anxiety, relationship and intimacy-related issues, self-esteem, and coping with life changes. She also focuses on attachment, abandonment, body image, communication, and sexual culture topics such as BDSM and kink.

How does she approach feeling stuck or unsure?

She combines professional training and lived experience to help people identify unhelpful patterns and try practical changes. Sessions emphasize clear steps you can practice between meetings.

What is her professional background?

She has four years of clinical experience and works as an LMFT in New York. Her work includes attention to relationship dynamics and sexual well-being.

Where is she based and licensed?

She is based in New York and holds the NY LMFT credential.

Which languages are supported?

Sessions are offered in English, Mandarin, and Cantonese.

Can people from other countries work with her?

She does not accept international clients at this time.

How are sessions paid for?

Costs vary with location and sessions use a subscription that can be canceled at any time.

What are the steps to get started?

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

Good to know

Therapists listed here offer talking therapy online. It is not career, financial or medical advice, and no therapist can promise a particular result.

If you are thinking about harming yourself, or you are in danger, contact a crisis line or emergency services. The numbers are at the foot of this page.

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