About Sarah
Sarah Fagan is a Licensed Clinical Mental Health Counselor in North Carolina with ten years of experience. She takes a calm, down-to-earth approach and aims to make sessions feel relaxed and respectful. People often come to her when anxiety, stress, grief, trauma, or big life changes feel overwhelming.
She uses plain language and tries to be warm and direct so conversations are practical and clear. Sarah focuses on everyday problems like parenting and family dynamics, relationship and communication struggles, low self-esteem, and challenges that come with health or work stress.
Background and approach
She also supports people dealing with ADHD, autism spectrum concerns, depression, bipolar mood challenges, and addiction-related issues. Her work includes helping clients process past abuse, loss, and abandonment issues in ways that feel manageable. Her style blends client-centered listening with evidence-based tools.
She draws on cognitive behavioral ideas to shift unhelpful thinking and on Acceptance and Commitment Therapy to help people live by their values. Attachment-based ideas show up when repairing relationship patterns matters most. Sarah likes to include creativity, nature, music, or humor when it helps someone engage in therapy.
She adapts her plan to match what each person needs and prefers. Sessions are offered in English and delivered by phone, video, live chat, or text messaging to fit different schedules. If someone is ready to try therapy, they select the Start Therapy button, complete a short matching questionnaire, and schedule a first session according to the therapist's availability.
How therapeutic approaches fit into online sessions
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values; it can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing patterns of thinking and behavior that keep problems going, and it often helps with anxiety, depression, and anger. Attachment-Based Therapy looks at how early relationship patterns affect current relationships and communication, which can be helpful when repair or boundary work is needed.Choosing the right approach is part of the work. The therapist will ask about goals, habits, and what has or hasn’t helped before. Together the client and therapist try methods that fit the person’s needs, and they adjust over time based on what helps most.
Online therapy offers practical flexibility. Video calls let people use visual cues and body language during deeper sessions. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging provide shorter check-ins or a way to share thoughts between sessions. These options make it easier to schedule therapy around work, caregiving, or travel while still using the chosen therapeutic approaches.
Questions people ask
What kinds of concerns does this therapist address?
How would you describe the therapy style and approach?
What is the therapist's background and experience?
What credentials and location are associated with this therapist?
Which languages are sessions offered in and can international clients join?
What session formats are available for online work?
How is cost handled for sessions?
What are the steps to begin therapy?
What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- North Carolina
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.