About Sarah

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with ten years of counseling experience. She focuses on helping people manage stress, anxiety, depression, grief, ADHD, and relationship or family struggles. Sarah aims for a warm, straightforward style so people feel comfortable talking about hard things.

Sarah uses a person-centered approach that highlights a client's strengths and cultural background. She adapts methods to fit each person rather than using one fixed model.

Background and approach

Sessions may include practical tools for coping, skills practice, and conversations about values and goals. Her practice covers trauma and abuse, parenting and guardianship challenges, attachment concerns, and issues tied to chronic illness or caregiving. She also supports people facing career changes, addiction concerns, codependency, and difficult life transitions.

Sarah often brings in creativity, nature, music, or gentle humor when it helps the work. People describe her approach as respectful and nonjudgmental, with a relaxed tone during sessions. She prioritizes understanding each person's preferences and tailoring interventions accordingly.

The therapy room is presented as a place to test new ways of managing feelings and relationships. Sarah blends methods such as cognitive-behavioral strategies, acceptance and commitment ideas, attachment-focused work, and existential conversations about meaning. Over time she helps people set clear steps, build useful habits, and reconnect with what matters most to them.

Approaches that translate to online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them, accept difficult feelings, and take small steps toward chosen values; it can be useful for anxiety, stress, and life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and practicing concrete skills to change them, which is helpful for depression, anxiety, and coping strategies. Attachment-Based Therapy pays attention to relationship patterns and how early bonds shape present reactions, supporting work on trust, boundaries, and family dynamics.

Finding the right approach is part of the work. Sarah will collaborate with each person to choose or combine methods based on goals, preferences, and what feels most useful in sessions. She checks in regularly and adjusts plans so the approach matches progress and life demands.

Online therapy offers practical benefits like scheduling flexibility and easier access from different locations. Video calls allow face-to-face conversation and visual cues, phone sessions are a lighter option when bandwidth is limited, and live chat or text-based messaging can serve as brief check-ins or for people who prefer writing. These formats make it easier to maintain continuity during busy weeks and to practice skills between sessions.

Questions people ask

What concerns does Sarah commonly address?
She works with stress, anxiety, depression, grief, ADHD, trauma and many relationship or family-related issues.
What is her general therapy style?
Sarah uses a person-centered, strengths-based style and adapts methods to each person's needs, emphasizing practical skills and honest conversation.
What is her background and experience?
Sarah has about ten years of professional counseling experience supporting a wide range of concerns and life stages.
What credentials and location information are available?
She is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina.
Which languages are available for sessions?
Sessions are offered in English only and international clients are not currently accepted.
What session formats are offered?
Therapy is available via video calls, phone sessions, live chat, and text-based messaging.
How are costs handled?
Costs vary with location and therapist availability and sessions use a subscription that can be canceled at any time.
How do I begin the process?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

What this therapist works with

Experience
10 years
Licensed
North Carolina
Languages
English

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