She is locally known for the effectiveness of her work with children and parents with attachment disruptions. She has extensive experience treating children who are behaviorally and emotionally intense. Dr. Sylvester is an Advanced Trainer in the Nurtured Heart Approah. She also provides supervision on family and child-psychotherapy to graduate students and pediatric mental health professionals. Dr. Sylvester is the founder and owner of Austin Child Therapy, a support service for child and family mental health practitioners.