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
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- 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
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- North Carolina
- Languages
- English
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