Sarah O’Brien , LPC

Sarah O’Brien is a licensed professional counselor (LPC) in Mississippi with nine years of clinical experience. She helps people who are feeling overwhelmed by anxiety, stress, depression, grief, anger, parenting strain, or life changes. She also supports those navigating ADHD, LGBT concerns, trauma and abuse, and issues around self-esteem and body image.

Her approach is warm and interactive. Sessions focus on the person in front of her and what they want to change. Conversations are practical and goal-oriented, with time to talk and to try new ways of coping between meetings.

Sarah blends client-centered listening with tools from cognitive behavioral therapy to identify unhelpful thoughts and habits. She also uses solution-focused strategies to set small, achievable goals and EMDR when trauma memories are getting in the way of daily life. She explains options and helps people pick what feels right for them.

Her background includes work across age groups and a range of concerns, and she has experience supporting people from the LGBT community. Sarah aims to tailor each plan to a person’s needs and pace, adjusting tools and goals as progress is made.

People who choose her can expect a respectful, collaborative process. Sarah emphasizes clear steps, short-term strategies, and steady improvements that fit real life. She welcomes questions and works at a pace that feels manageable.

How therapeutic approaches translate to online care

Client-centered therapy centers on the person's own goals and choices. The therapist listens closely, reflects back what matters to the person, and helps them set steps they want to take; this works well in video or chat sessions where conversation and planning are the focus.

Cognitive behavioral therapy (CBT) focuses on spotting unhelpful thoughts and testing small behavior changes. In an online session this can mean reviewing thought records, practicing new coping skills in real time, and setting brief homework to try between meetings. EMDR helps when traumatic memories continue to cause distress by using guided attention and processing; certain elements of EMDR are adapted so they can be used effectively in video or phone sessions when appropriate.

Finding the right approach is a collaborative process. The therapist will talk about options, consider your goals and preferences, and adjust methods as you go. She aims for clear explanations so you can weigh trade-offs and choose what feels most helpful.

Online formats offer practical flexibility. Video calls allow face-to-face interaction and exercises that use visual cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging work well for brief coaching, step-by-step problem solving, and ongoing support between longer sessions. These options help fit therapy into work, caregiving, or busy schedules.