About Sarah
Sarah Alvarado is a Florida-licensed mental health counselor with more than 30 years of experience. She works with people who are struggling with stress and anxiety, substance use and addictions, family conflict, trauma and abuse, and related concerns. She aims to make the first step into therapy feel manageable and straightforward.
Her style is down-to-earth and supportive. She helps people notice their strengths and use those strengths to handle hard moments.
Background and approach
Sessions focus on practical steps people can try between meetings. The tone is collaborative rather than prescriptive. Sarah draws on client-centered methods to keep conversations focused on the person's concerns.
She also uses cognitive behavioral techniques to identify patterns of thinking and behavior that make problems worse. Mindfulness skills and parts of dialectical behavior therapy can be offered to help manage strong emotions and improve coping.
Over three decades she has worked with a wide range of issues beyond anxiety, including depression, grief, relationship and intimacy issues, parenting and career concerns, ADHD, and compassion fatigue. She also supports people facing life transitions such as divorce, aging, or caregiving stress. Her experience includes working with LGBT clients and people handling trauma.
She offers several remote formats to fit different needs, including video calls, phone sessions, live chat, and text-based messaging. People who want to begin fill out a short matching questionnaire and schedule a session based on availability.
Therapeutic approaches and online care
Client-centered therapy is about building a respectful, nonjudgmental relationship and following the person's goals. It helps when someone needs a space to be heard and to discover their own strengths. Cognitive behavioral therapy, or CBT, looks at patterns of thought and behavior and teaches practical steps to change them, which can be useful for anxiety, depression, and stress. Dialectical behavior therapy, or DBT, offers skills for managing intense emotions and improving distress tolerance and interpersonal effectiveness. Finding the right approach is part of the work together. The therapist will review your concerns, goals, and preferences and suggest methods that fit. Decisions about which tools to use are made collaboratively and can change as needs evolve. Online sessions make it easier to fit therapy into daily life. Video calls let people connect face to face from different places. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging offer ongoing support between sessions and can be useful for brief check-ins, practicing skills, or tracking progress. These options provide flexibility and make it simpler to maintain continuity of care.Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Family conflicts
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Florida
- Languages
- English
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