Sarah Fagan, LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor practicing in North Carolina with about ten years of experience. She focuses on helping people cope with stress, anxiety, grief, trauma, parenting challenges, relationship and family strain, addictions, mood concerns, and attention differences. Sessions are conversational and straightforward, with an emphasis on practical steps that fit daily life.

She aims to be warm, honest, and nonjudgmental while keeping a relaxed tone in session. Sarah tailors her approach to each person and leans on what seems most helpful in the moment. She uses person-centered and strengths-based ideas to guide collaborative work.

Her clinical approach may include cognitive behavioral techniques, acceptance and commitment ideas, attachment-based perspectives, and client-centered methods. She also draws on existential themes, mindfulness, narrative ideas, and occasionally EMDR when appropriate. Creativity, music, and nature are sometimes used to make therapy feel more personal and engaging.

Sarah has experience addressing childhood and domestic trauma, parenting and guardianship concerns, blended family issues, adoption and foster care questions, caregiver stress, chronic health challenges, and workplace or career strain. She also supports people managing bipolar disorder, depression, compassion fatigue, and co-occurring conditions.

Sessions are offered in English and delivered online through video, phone, live chat, and text messaging. Fees vary by location and use a cancellable subscription model. To begin, clients complete a short matching questionnaire and schedule based on therapist availability.

How therapies like CBT and ACT work online

Sarah uses cognitive behavioral ideas to help people notice unhelpful thoughts and try new behaviors that reduce symptoms. CBT techniques are practical and often include small homework tasks to practice between sessions.

She also uses Acceptance and Commitment Therapy to help people clarify values and take meaningful steps even with difficult feelings present. Attachment-based ideas guide work on relationship patterns and how early bonds affect current connections.

Finding the right approach is part of the work together. Sarah treats selection of methods as a collaborative process and adjusts strategies based on a person's goals, preferences, and what is most useful in session.

Online therapy gives flexibility for busy schedules and different needs. Video calls offer a close substitute for in-person conversation. Phone sessions can be easier when less bandwidth is available or when someone prefers not to be on camera. Live chat and text messaging make brief check-ins and ongoing support possible between longer sessions.