About Sarah
Sarah Ritchea O'Connor is a Licensed Professional Counselor, LPC, and a Licensed Mental Health Counselor, LMHC, who helps people manage stress and anxiety. She brings ten years of counseling experience and an open, respectful attitude to each session. She aims to meet people where they are and tailor conversations to their needs.
Sarah works with clients who face trauma, grief, depression, addictions, and relationship or intimacy concerns. She also addresses eating and sleeping problems, ADHD, bipolar mood concerns, and caregiver or first responder stress.
Background and approach
Her practice includes support for people in the LGBT community and those coping with life transitions. Her approach combines practical skills with reflective work. She uses cognitive behavioral strategies to spot and change unhelpful thinking.
She also draws on attachment-based ideas to look at how early relationships shape current patterns. Sessions often include emotion regulation and mindfulness tools from dialectical behavior therapy to help during intense moments. Existential questions about purpose and meaning are welcomed when people are facing big life changes.
Sarah adapts methods to each person and focuses on clear steps clients can try between meetings. Sarah is licensed in Texas and has worked in Washington previously. She offers video calls, phone sessions, live chat, and text-based messaging.
Sessions are provided in English and use a subscription model that can be canceled at any time.
How these approaches fit online therapy
Attachment-based work looks at how early relationships influence current patterns. Online sessions can help people notice how they seek connection and safety, and work on building new ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on identifying and testing unhelpful thoughts and trying small behavioral changes. It works well for anxiety, stress, sleep issues, and mood concerns because it gives concrete tools to use between sessions.Choosing a therapeutic approach is a shared process. The therapist will listen to goals and concerns, explain options, and try methods that fit the person's needs and preferences. If something doesn't feel helpful, it can be adjusted or replaced so the plan stays practical and useful.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversation and exercises that need visual cues. Phone sessions can be easier when bandwidth is limited or when a person prefers not to be on camera. Live chat and text messaging offer brief check-ins, coaching-style support, or a way to keep progress between longer sessions. These options make it easier to fit therapy into work, caregiving, or busy schedules.
Questions people ask
What concerns does Sarah help with?
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How much counseling experience does she have?
What credentials and region are listed?
Which languages are supported and are international clients accepted?
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How does cost and billing work?
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Texas, Washington
- Languages
- English
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