About Sabrina
Sabrina Howell is a Licensed Clinical Mental Health Counselor with 20 years of experience helping people manage stress and anxiety. She takes a collaborative approach where the client sets goals and the counselor accompanies them through the process. Conversations are straightforward and focused on practical steps for the things that feel most urgent in daily life.
Her work looks at life from several angles - emotions, body sensations, relationships, work, and meaning.
Background and approach
Sabrina draws on client-centered principles to create a respectful, listening space and uses Cognitive Behavioral Therapy techniques to address unhelpful thoughts and behaviors. Mindfulness practices are also offered to help with grounding and emotional regulation. Clients often reach out for help with panic, anxiety, depression, grief, relationship stress, parenting pressures, or feeling stuck during life changes.
She also supports people dealing with trauma and abuse and works with mood-related concerns including bipolar and disruptive mood patterns. Additional areas of focus include attention and impulsivity challenges, attachment and abandonment issues, body image, and problems with self-worth. Sabrina practices from North Carolina and holds the LCMHC credential, which is listed as NC LCMHC.
She communicates in English and accepts international clients who can use the available online session formats. Messages are typically returned once daily Monday through Saturday after 5:00 p.m. Eastern Time.
At the first appointment she and the client will decide together whether to continue. If a different course of care would better serve the person, she will provide referrals to other professionals.
Approaches that guide online sessions
Client-centered therapy emphasizes the client's goals and perspective. The therapist listens closely, follows the client's lead, and helps shape goals that feel meaningful and manageable. This approach is helpful for people who want a respectful space to make sense of their priorities and choices.Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and actions. It offers concrete exercises and behavioral experiments to reduce anxiety, interrupt panic cycles, and change unhelpful patterns. CBT is often used for worry, panic, and mood-related problems.
Mindfulness therapy teaches simple practices to notice thoughts and sensations without getting pulled into them. These techniques can help with stress, emotional regulation, and staying grounded during difficult moments.
Finding the right approach is part of the work. The therapist collaborates with each person to determine which methods fit their needs, goals, and preferences. Plans are adjusted as therapy progresses so the approach stays useful and relevant.
Online therapy makes it easier to fit counseling into a busy life. Video calls allow face-to-face conversation when visual cues matter. Phone sessions use less bandwidth and can be a good choice for brief check-ins. Live chat or text-based messaging supports shorter updates, ongoing coaching, and convenient reflection between sessions. These options provide flexibility for different schedules and needs while keeping the focus on practical progress.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Attachment issues
- Bipolar disorder
- Body image
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Emptiness
- Grief
- Impulsivity
- Intellectual disability
- Mood disorders
- Parenting issues
- Personality disorders
- Self esteem
- Self-harm
- Trauma and abuse
- Veteran and Armed Forces Issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- North Carolina
- Languages
- English
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