Sierra Hofmann, LMFT

Smiling woman with long hair in a light-colored outfit against a white background.

Therapist, Eldest Daughter, Taurus

To Schedule:

Email sierra@loudthoughtstherapy.com or Call 812-727-8220

  • Licensed to see clients in IN

  • Sierra exclusively sees clients virtually

  • Sierra works with clients who are 18+

    • Anthem BCBS of Indiana

    • Aetna

    • Cigna

    • Carelon Behavioral Health

    • Quest Behavioral Health

    • More Coming Soon!

  • If you are not using insurance for sessions, Loud Thoughts Therapy’s self-pay fees are as follows. We strive to make our fee structure clear and straightforward: visit our FAQ’s for full self-pay details.

    • Individual Therapy (50 minute sessions):

      • Intake Appointment: $200

      • Follow-Up Appointments: $150

Hi! I’m Sierra! An LMFT based out of Indiana!

My therapy style is direct, grounded, and collaborative. I blend evidence-based approaches like CBT and behavior therapy with a no-nonsense, supportive presence to help clients build practical tools, shift unhelpful patterns, and create meaningful change. Whether we’re working one-on-one or in a family or couples setting, I bring curiosity, respect, and structure to the process—meeting you where you’re at while challenging you to grow.

I work with individuals, couples, and families navigating a wide range of concerns including substance use, communication challenges, life transitions, and identity development. I also have experience supporting parents and individuals with intellectual and developmental disabilities (IDD). My sessions are inclusive, action-oriented, and focused on helping clients develop the insight and skills they need to move forward in a way that works for them.

Outside of sessions, I’m often surrounded by my three dogs—who may occasionally make a cameo in our time together (they’re not licensed, but they try their best).

Ready to get started? I’d love to connect and help you take that next step.