Sarah Burns , LCSW, LISW-CP

Sarah Burns is a licensed social worker who helps people who are feeling overwhelmed by stress, anxiety, grief, or low self-esteem. She works with clients struggling with depression, sleep problems, relationship and intimacy concerns, and compassion fatigue. She also supports people navigating career changes and life transitions. Sarah holds an LCSW (Licensed Clinical Social Worker) and an LISW-CP (Licensed Independent Social Worker - Clinical Practice). Sarah focuses on building trust and moving at a pace that feels manageable. Sessions aim to be practical and straightforward. Clients can expect a listener who asks questions, offers tools, and partners in creating steps that fit daily life. Her approach pulls from several well-known therapies. She uses techniques that help people notice unhelpful patterns, shift difficult thoughts, and practice new behaviors. Attachment-focused ideas inform how she looks at relationship patterns and closeness. Dialectical and acceptance-based skills are used when emotions feel intense or overwhelming. With six years of clinical experience, Sarah combines lessons from training and real-world practice. She frames problems in simple terms and focuses on what can be changed now. Many of her focus areas include trauma and abuse, LGBT concerns, caregiving stress, addiction recovery supports, panic attacks, and issues tied to abandonment and attachment. Sessions are offered to people based in North Carolina and conducted in English. Sarah invites people to bring their worries and to start by deciding what small, usable steps feel right for them.

How these approaches translate to online sessions

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values. It can be useful for anxiety, depression, and life changes where someone wants clearer direction. Attachment-Based Therapy looks at patterns in close relationships and helps people understand how early experiences shape current connection and trust. This can help with intimacy issues, abandonment concerns, and relationship stress. Cognitive Behavioral Therapy (CBT) focuses on spotting and changing unhelpful thoughts and behaviors. It is practical for anxiety, panic, sleep problems, and coping with daily stress.

Finding the right approach is part of the work. The therapist will discuss what feels most useful and try methods that match the client's goals and preferences. Decisions about tools and pacing are made together so the plan fits real life.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video lets people see nonverbal cues during deeper conversations. Phone sessions can work when bandwidth is limited or for shorter check-ins. Text and live chat are helpful for ongoing support between sessions or for people who prefer writing. These options make it easier to fit therapy into busy schedules and to keep momentum between meetings.