About Sarah
Sarah Fulfer, LPC, helps people who are feeling overwhelmed by stress, anxiety, depression, trauma, and major life changes. She also supports parents and those navigating adoption and foster care issues. Her approach is practical and straightforward, aimed at helping people notice unhelpful thinking and choose different actions.
Sarah has worked in counseling since 2019 in hospitals, community agencies, and a local church. That mix of settings shaped how she listens and responds.
Background and approach
She uses client-centered methods alongside cognitive behavioral techniques to help people examine thoughts that feed worry, shame, or low mood. Her work values the mind, body, and spirit. She asks about a person’s beliefs and how those beliefs shape day-to-day choices.
If faith matters to someone, she can integrate it; if a person prefers not to include faith, she will respect that preference. Practical skills are a focus in sessions. She helps people identify patterns that cause distress and then practice new ways of thinking and acting.
This includes coping skills for stress, steps to manage anxiety, and strategies for handling relationship or communication struggles. Sessions are offered in English and carried out online by video, phone, live chat, or messaging. Sarah works from Texas as a licensed professional counselor, and she aims to help clients set realistic goals and move toward them at their own pace.
Evidence-informed approaches and online care
Sarah draws on client-centered work and cognitive behavioral methods. Client-centered work means sessions focus on the person’s values, beliefs, and choices, helping them name what matters and set goals. Cognitive behavioral techniques involve noticing patterns of thought that increase anxiety or depression and practicing concrete ways to change those thoughts and related behaviors.She often combines these approaches so practical skills are grounded in a person’s own worldview. Finding the right approach is part of the process; she collaborates with people to try methods, see what helps, and adjust based on goals and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use body language and face-to-face interaction. Phone can be a lower-bandwidth option and works well for check-ins. Live chat or messaging can fit short check-ins, quick coping reminders, or when typing feels easier. These options make it simpler to schedule sessions around work, parenting, or daily routines and let people choose the communication style that helps them engage.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Parenting issues
Also listed
- Adoption and foster care
- Body image
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- First responder issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Life purpose
- Money and financial issues
- Panic disorder and panic attacks
- Post-traumatic stress
- Self-love
- Sexual assault and abuse
- Workplace issues
- Young adult issues
- Experience
- 5 years
- Licensed
- Texas
- Languages
- English
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