About Sara
Sara Nielsen is a Licensed Clinical Mental Health Counselor and a Licensed Clinical Professional Counselor practicing in Alabama. She brings 19 years of experience to care that aims to be practical and down to earth. She meets people where they are and focuses on everyday struggles like anxiety, stress, depression, and relationship problems.
Her tone is straightforward and collaborative. Sara draws from several approaches to shape each session. She uses cognitive behavioral techniques to help people spot unhelpful thinking and try small, testable changes.
How Sara works
She includes acceptance and commitment ideas to clarify values and build meaningful actions. Mindfulness practices and elements of dialectical behavior work are used to teach emotional regulation and stress management skills. Sessions tend to be interactive and goal oriented.
The therapist asks questions, listens closely, and offers tools people can practice between meetings. She also adapts pacing and techniques to what the person prefers, so the work fits daily life. Sara has supported people facing trauma and abuse, eating and body-image concerns, grief and loss, substance-related struggles, and challenges with intimacy or self-esteem.
She also addresses issues such as ADHD, bipolar symptoms, compassion fatigue, and difficulties stemming from family of origin or relationship stress. People can expect a respectful, nonjudgmental space where progress is approached step by step. The focus is on small, usable changes that add up over time.
Sara lists 11 ways of working on the entry:
What Sara works with
The areas below are the ones Sara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Trauma and abuse
- Eating disorders
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Jealousy
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trichotillomania
- Women's issues
Training and background
| Registers | LCMHC, LCPC |
|---|---|
| Years in practice | 19 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Alabama |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How these approaches translate to online care
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to you and taking small steps toward those values. Online ACT sessions often include exercises to notice thoughts and choose value-driven actions that can be practiced between meetings. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and test new behaviors. In virtual sessions, CBT can involve short skill drills, thought records, and behavioral experiments that fit into daily routines. Mindfulness Therapy teaches simple awareness and breathing practices to reduce reactivity and improve focus, and these techniques can be practiced during or after online visits.Choosing the right mix of methods is a collaborative process. The therapist will talk with the person about goals, try an approach, and adjust techniques as needed. Clients and therapist decide together whether to emphasize skills training, values work, or stress regulation based on what feels most helpful.
Online sessions offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or when being on camera is not desirable. Live chat and text-based messaging support brief check-ins, coaching-style guidance, or ongoing problem solving between longer sessions. These options make it easier to fit therapy into busy lives and keep momentum between meetings.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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