About Sara
Sara Irwin is a licensed counselor who helps people facing stress, anxiety, addiction, grief, and ADHD. She brings a warm, down-to-earth style to sessions and focuses on practical steps people can use right away. Sara holds a Master’s degree in Community Counseling and uses her years of experience to support everyday needs and crises.
Sara has 14 years of experience in clinical and independent practice settings. She has worked with people dealing with trauma, substance use, depression, relationship problems, parenting challenges, and impulse control.
Background and approach
Her background includes work across many life stages and situations, and she accepts international clients who prefer English. Her approach blends cognitive techniques with humanistic listening and skills training. That means sessions often include learning new thinking patterns, practicing coping skills, and talking through what’s getting in the way of goals.
She aims to be genuine and direct, helping people try small experiments between sessions. Sara also uses principles from Acceptance and Commitment Therapy and attachment-informed methods to address how values, relationships, and emotional patterns affect daily life. She supports people in building routines, managing stress, and improving communication.
Over time she helps clients set realistic goals and track progress. Outside of work she spends time with her family, runs, reads, and enjoys being outdoors. Those same practical habits show up in her work - small routines and steady habits that add up to change.
Approaches That Guide Online Sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed action toward them while learning to accept difficult thoughts and feelings. It can help when worry, low mood, or ADHD-related frustration keeps someone from pursuing what matters. Cognitive Behavioral Therapy (CBT) teaches practical ways to spot and change unhelpful thinking and behavior patterns. It is often used for anxiety, depression, stress, and for building routines that support concentration and impulse control. Attachment-Based Therapy looks at how early relationship patterns shape current reactions and communication, and it can be useful when relationship problems or trust issues get in the way of daily functioning.Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they’ll try methods that fit the person’s life and adjust as needed based on what works in practice.
Online therapy offers flexible ways to meet - video calls, phone sessions, live chat, or text-based messaging - so sessions can fit around work, family, and medical needs. Video is good for deeper conversation and visual cues, phone calls are helpful when bandwidth is limited, and chat or messaging works well for brief check-ins or step-by-step coaching. These options make it easier to keep a steady schedule and apply skills between sessions.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Gottman Method
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 14 years
- Licensed
- Nebraska, Iowa, Missouri, Nevada, Texas, California
- Languages
- English
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