Sarah Larsen-Astrones , MD, LCPC, LIMHP

Sarah Larsen-Astrones is a licensed clinician who focuses on practical, evidence-based help for stress, anxiety, low self-esteem, and the challenges that come with life changes. She holds an MD, is a Licensed Clinical Professional Counselor (LCPC), and a Licensed Independent Mental Health Practitioner (LIMHP).

Over 13 years she has worked in clinical and teaching roles, including supervising counseling interns and offering continuing education courses at colleges and universities. Her background includes supporting people with concentration, memory, and focus concerns related to neurodivergence. She brings experience rather than promises, and aims to make sessions straightforward and useful.

In sessions she encourages open conversation about thoughts and feelings. She keeps things judgment-free and practical. The focus is on small, achievable steps that fit into everyday life.

Sarah often helps people who are navigating attachment and abandonment concerns, control issues, guilt and shame, or the isolation that can come with major life shifts. She also works with worries like panic attacks, social anxiety, and the stress that surrounds pregnancy and childbirth.

People looking for help with life purpose, money stress, midlife transitions, or building self-love will find working topics in her practice. She is based in Maryland and conducts therapy in English. Getting started is a simple online matching and scheduling process.

Practical approaches and online care that fit your life

Sarah uses evidence-based therapeutic techniques aimed at clear, manageable change. One approach focuses on short-term strategies to reduce anxiety and panic by teaching simple breathing and grounding tools and helping people notice unhelpful thinking patterns that fuel worry. Another approach addresses attention and focus by breaking tasks into smaller steps, building routine, and trying behavioral experiments to see what improves concentration.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose techniques that match their needs, goals, and comfort level, and adjust the plan as progress is made.

Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging. Video sessions let people work face-to-face from wherever they are. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging offer short, flexible exchanges that can fit around work and family responsibilities. These options make it easier to keep therapy consistent when life gets busy.