About Sarah
Sarah Ritchea O'Connor is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) who helps people manage stress, anxiety, ADHD, depression, grief, trauma, and relationship or intimacy concerns. She works with individuals facing addictions, sleep and eating difficulties, parenting strain, career questions, and compassion fatigue. She aims to create a respectful, nonjudgmental space for honest conversation.
Sarah uses straightforward talk and practical tools rather than jargon. Sessions focus on concrete steps you can try between meetings.
Background and approach
She adapts her approach to each person's needs and pace so progress feels achievable. Her style blends attachment-based ideas, client-centered listening, cognitive behavioral techniques, and skills from dialectical behavior therapy when helpful. She also draws on existential themes to help people find meaning during change.
These methods guide how she frames challenges and sets goals with clients. Sarah has practiced for 10 years and holds licensure in Texas and Washington State as LPC and LMHC. She has worked with a wide variety of concerns, including people in the LGBTQ community and those coping with serious mood disorders.
Her background includes experience supporting caregivers, first responders, veterans, and people facing end-of-life issues. Therapy sessions include clear, practical suggestions and space to reflect. Sarah encourages small experiments and regular check-ins on what is and isn’t working.
She helps people build routines, communication skills, and emotion-regulation tools that fit daily life.
Approaches in Online Care and What They Do
Attachment-based therapy focuses on how early relationships shape current ways of connecting and feeling safe with others. It can help people improve closeness, trust, and emotional responsiveness in their relationships. Client-centered therapy centers the person’s own experience and priorities, using empathic listening to help people clarify values and make choices that fit their life.Cognitive behavioral therapy, or CBT, looks at how thoughts and behaviors interact and teaches concrete skills to reduce anxiety, manage mood, and change unhelpful patterns. These approaches are used in session to create practical plans and to build skills that carry over into daily life.
Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has helped or not helped in the past. Together they choose which methods to try and adjust the plan as progress is tracked.
Online therapy gives flexibility through video calls, phone sessions, live chat, and text-based messaging. Video is useful when face-to-face cues matter, phone can work well when bandwidth is limited, chat or text are good for quick check-ins or ongoing reminders. These options make it easier to fit sessions into work, school, caregiving, or other routines while still working with licensed professionals.
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Texas, Washington
- Languages
- English
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