Sarah Fagan , LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with ten years of experience. She focuses on helping people who are feeling overwhelmed by stress, anxiety, grief, parenting strains, relationship problems, and major life changes. Sarah aims to be warm, straightforward, and easy to talk to so clients can relax into their work together.

Her sessions are grounded in a person-centered outlook that highlights clients' strengths. She adapts her methods to match what each person needs, drawing from approaches such as cognitive behavioral techniques, acceptance and commitment ideas, attachment-focused work, and existential conversation. This means practical skill-building mixed with space to reflect on values and meaning.

Sarah has worked with people coping with trauma and abuse, chronic health concerns, ADHD and autism spectrum traits, addiction, and career or caregiving stress. She also supports those managing grief, low self-esteem, anger, and complex family dynamics. Her background includes ten years of counseling across varied settings, giving her broad experience with different life situations.

Clients can expect straightforward feedback, a respectful tone, and a collaborative plan. Sarah often brings creativity into sessions through music, nature themes, or structured exercises when helpful. She prefers to get to know each person's interests and use them as part of the work.

To begin, clients complete an intake and then shape goals together with Sarah. She offers a flexible, person-focused path rather than a one-size-fits-all program.

Approaches that translate well to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thinking and take action toward what matters. It uses simple exercises to clarify values and build flexible coping habits for anxiety, stress, and life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors. It often includes short exercises, worksheets, and behavior experiments that work well in video or chat sessions. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people practice new ways of connecting and setting boundaries in relationships.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals, preferences, and life context. Clients can expect the therapist to explain options, try techniques together, and adjust the plan as progress is made.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video is useful for longer discussions and exercises, phone fits a lower-bandwidth option, live chat can work for brief check-ins, and messaging supports ongoing reflection between sessions. These formats let people fit therapy into busy schedules and keep momentum between meetings.