About Sarah
Sarah Alvarado is a Florida-licensed mental health counselor with more than 30 years of experience. She focuses on clear, direct support for people facing stress, anxiety, substance use concerns, trauma, and family conflict. She encourages each person to use their existing strengths as a starting point for change.
Her style is straightforward and respectful. Sessions center on the client's goals and practical steps to reach them. She offers coaching-style guidance alongside therapeutic tools to help manage emotions and behavior.
How Sarah works
Sarah draws on client-centered methods to keep conversations focused on what matters most to the individual. She also uses cognitive behavioral techniques to identify unhelpful thought patterns and try small changes. Dialectical behavior therapy skills and mindfulness practices are included when people need tools for emotion regulation and distress tolerance.
Over her career she has worked with people dealing with depression, grief, relationship and intimacy issues, parenting stress, anger, self-esteem, career challenges, and ADHD. She pays attention to how trauma and abuse affect daily life and coping. Sarah aims to create a calm, nonjudgmental space where people can talk through problems and test new ways of handling them.
She helps set concrete, achievable steps and revisits progress together. For many, the focus is on short-term problem solving and building skills to face future challenges.
Sarah lists 6 ways of working on the entry:
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Family conflicts
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 30 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapy approaches translate to online care
Client-centered therapy focuses on the person's priorities and strengths. Sessions center on the client's experience and the therapist follows their lead to set goals and next steps. Cognitive behavioral therapy, or CBT, looks at thoughts and behaviors that get in the way and uses practical exercises to test new ways of thinking and acting. These tools are useful for anxiety, depression, and stress. Dialectical behavior therapy, or DBT, teaches concrete skills for emotion regulation, distress tolerance, and improving communication when feelings run high.Deciding which approach fits best is a shared process. The therapist will ask about the issues you want to address, your goals, and what feels helpful to you. Together you can try a mix of approaches and adjust the plan as you see progress and learn what works.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or you prefer not to be on camera. Live chat or text-based messaging can work well for quick check-ins, ongoing support between sessions, or when a shorter format fits a busy schedule. These options make it easier to fit therapy into work, school, or family routines while using the approaches described above.
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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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