About Sarah
Sarah Larsen-Astrones is a licensed clinician who focuses on practical help for worry and life stress. She brings 13 years of experience to sessions and speaks plainly about anxiety, stress, self-esteem, and coping with change. Sarah is based in Maryland and meets people where they are in their day-to-day lives.
She has worked in clinical and teaching roles, including supervising counseling interns and offering continuing education courses at colleges and universities.
Background and approach
That background informs a straightforward, skills-based approach to common concerns like motivation, focus, and memory challenges related to neurodivergence. Sessions aim to build habits that make daily life easier. Sarah helps people sort through panic symptoms, social anxiety, and the shame or guilt that often keeps people stuck.
She also supports those facing major life changes, relationship communication problems, and struggles around money or life purpose. Conversations focus on clear steps rather than abstract theory. In meetings she encourages open, nonjudgmental sharing so people can try small changes and see what works.
She uses evidence-based therapeutic techniques tailored to each person’s needs and pace. Progress is tracked in simple, practical ways. People connect with her through video calls, phone sessions, live chat, or text-based messaging.
Sessions use a subscription that can be canceled at any time, and start by completing a short matching questionnaire and scheduling a time that fits the person’s routine.
How evidence-based techniques translate to online care
Sarah uses evidence-based therapeutic techniques that focus on teaching practical skills people can use right away. One common approach emphasizes learning coping skills for anxiety and panic - breathing and grounding strategies, step-by-step exposure to feared situations, and short behavioral experiments to reduce avoidance. This helps with panic attacks, social anxiety, and daily worry.Another helpful strand centers on improving focus and organization for people with attention challenges. It includes simple routines, memory aids, and task-breaking methods to reduce overwhelm and build consistent habits. These tools aim to make daily tasks feel more manageable rather than adding complexity.
Choosing the right approach is part of the work together. The therapist will listen to your goals and preferences, try methods that fit your life, and adjust as you learn what helps. That collaborative process helps find the best fit over time.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make attending easier. Video is useful for deeper conversations and skill demonstrations. Phone can be a lower-bandwidth option and works well for check-ins. Live chat or text messaging lets people check in between sessions or use shorter bursts of support when life gets busy.
Questions people ask
What concerns does she address?
What is her therapy style like?
What experience does she bring?
What credentials and location apply?
Which languages are supported?
What session formats are available?
How does payment and cost work?
How do I begin working with her?
What this therapist works with
Also listed
- Abandonment
- ADHD
- Attachment issues
- Communication problems
- Control issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Panic disorder and panic attacks
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Experience
- 13 years
- Licensed
- Maryland, Nebraska
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.