Sarah Ross, LMHC

Sarah Ross is a licensed mental health counselor with 27 years of experience. She practices in Washington and brings a steady, practical style to sessions. She focuses on helping people who are dealing with stress, anxiety, depression, grief, relationship and family challenges. Sarah aims to create a nonjudgmental space and encourages clients to take small, steady steps toward change.

Before entering private practice she held roles such as clinical supervisor and clinic director. She has worked in community mental health, drug court settings, and marital counseling centers where she taught communication skills. That background gives her familiarity with a wide range of life problems, including substance-related concerns and long-term mental health challenges.

Sarah uses a mix of approaches and often leans on cognitive behavioral therapy, client-centered methods, and psychodynamic ideas. She pays attention to the ways feelings, thoughts, and beliefs interact and helps clients notice patterns that get in the way. For relationship work she draws on the Gottman Method to address communication and conflict patterns.

In sessions she is interactive and direct when needed, and she also offers encouragement and support. She looks for the blind spots clients may miss and helps them achieve new insights. Sarah is clear that meaningful change takes time and a shared commitment between therapist and client.

Her practice includes help with parenting strain, blended family issues, codependency, workplace problems, self-esteem and life purpose questions. People who want a practical therapist who combines skills training with reflection may find her approach a good fit.

Approaches to change and how online sessions help

Sarah often uses cognitive behavioral therapy to help people spot unhelpful thoughts and try new behaviors; this approach is useful for anxiety, depression, and mood challenges. She also uses client-centered therapy, which focuses on listening, empathy, and building trust so clients can explore what matters to them. For relationship and communication work she draws on the Gottman Method to teach skills for managing conflict and improving connection.

Finding the right approach is part of the work together. The therapist will talk with each person about their goals and preferences and choose methods that fit those needs. That collaborative process helps tailor sessions so tools and conversations feel useful rather than forced.

Online therapy offers several practical benefits: video calls allow face-to-face conversation when face time matters, phone sessions can be simpler when bandwidth is limited, live chat can work for brief check-ins, and text-based messaging lets people share between sessions. These options make it easier to fit therapy into busy lives and to use formats that match comfort and schedule.