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    <loc>https://www.siennacounseling.com/home</loc>
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    <lastmod>2025-04-21</lastmod>
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      <image:title>Home</image:title>
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      <image:title>Home</image:title>
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      <image:title>Home</image:title>
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      <image:title>Home - I’m here for you…</image:title>
      <image:caption>It takes courage to admit that you need help coping with a situation and to seek out counseling. You might be feeling lost, stuck, angry, sad, scared, devastated, anxious, confused, overwhelmed, or a whole range of emotions. You might also feel excited and ready, but unsure how to start. I’m here to support you and provide you with tools and strategies to help you navigate the process, achieve your goals, and feel better. I believe you have the ability to heal, adapt, and make meaning of the challenges in your life. Only you hold the answers inside to what you want in your future. I can help you find the key to unlock your inner wisdom. I’m here for you, when you’re ready.</image:caption>
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  <url>
    <loc>https://www.siennacounseling.com/about</loc>
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    <lastmod>2025-04-21</lastmod>
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      <image:title>About Sienna Counseling - Kate Meserve, MSW, LCSW</image:title>
      <image:caption>I am the owner/therapist at Sienna Counseling, PLLC, based in Missouri City, Texas. Providing both in person and virtual video therapy allows me to serve clients in the Houston area, as well as across the state of Texas. Prior to private practice, I was fortunate to work in two of Houston’s best hospital systems, Methodist Hospital and MD Anderson, as well as our community’s leading LGBTQIA+ health clinic and counseling center, Legacy Community Health and the Montrose Center. I have specialized experience serving clients encountering health issues, grief and loss, LGBTQ+ related concerns, and other life transitions. I strive to create a supportive and welcoming environment, where my clients feel comfortable expressing themselves. My approach is to validate my client’s experiences, offer tools and resources when appropriate, and instill hope that their situation will get better and they have the ability to make positive change. I graduated with a Bachelor of Arts in Psychology from Wellesley College, received a Master of Social Work from University of Houston, and am a Licensed Clinical Social Worker (LCSW) in the state of Texas.</image:caption>
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      <image:title>About Sienna Counseling - Client-Centered Therapy</image:title>
      <image:caption>Client-centered approach means I believe therapy should be about you and that you are the expert in your life.  At Sienna Counseling, you’ll find a safe and inclusive space to express and discover yourself.</image:caption>
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      <image:title>About Sienna Counseling - Strengths-Based Therapy</image:title>
      <image:caption>Strengths-based means I believe you already have many of the answers inside and together we’ll uncover them.  At Sienna Counseling, you’ll receive counseling that taps into the very best aspects of you.</image:caption>
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      <image:title>About Sienna Counseling - Solution-Focused Therapy</image:title>
      <image:caption>Solution-focused means I focus on relevant, actionable solutions in the present.  At Sienna Counseling, you’ll be empowered to face the inevitable change and unpredictability of life, equipped with the skills to achieve your personal goals.</image:caption>
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    <loc>https://www.siennacounseling.com/contact</loc>
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    <lastmod>2024-08-11</lastmod>
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  <url>
    <loc>https://www.siennacounseling.com/life-transitions</loc>
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    <lastmod>2025-04-21</lastmod>
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  <url>
    <loc>https://www.siennacounseling.com/health-conditions-caregivers</loc>
    <changefreq>daily</changefreq>
    <priority>0.75</priority>
    <lastmod>2025-04-21</lastmod>
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  <url>
    <loc>https://www.siennacounseling.com/grief-loss</loc>
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    <priority>0.75</priority>
    <lastmod>2025-04-21</lastmod>
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  <url>
    <loc>https://www.siennacounseling.com/lgbtq</loc>
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    <lastmod>2025-04-21</lastmod>
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