About Sarah
Sarah Brey greets people with a clear message: you have worth and you can change the story you tell yourself. She helps people who struggle with addictions, trauma, eating concerns, low self-esteem, and major life changes. Sessions are aimed at building practical skills and a stronger sense of self worth.
Sarah takes a straightforward, hands-on approach. She guides conversations that surface what matters most and then practices new strategies together.
How Sarah works
Techniques may include journaling, parts work, and exercises to shift body awareness and emotional responses. The goal is to leave sessions with specific steps to try between meetings. She brings four years of clinical experience as a Licensed Clinical Professional Counselor - LCPC in Nevada.
That background supports focused work on issues like body image, codependency, control problems, drug and alcohol addiction, and mood disorders. Sarah pays attention to both thoughts and bodily experience when tailoring support. People can expect a mix of talking, practical exercises, and reflective activities.
Early sessions look at immediate concerns, personal history, and what the client wants to change. Later work often involves building routines, practicing new skills, and tracking progress over time. Sarah offers care in English and does not take international clients.
Her practice aims to help individuals grow more confident, reduce self-blame, and make clearer choices in daily life.
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.
- Addictions
- Trauma and abuse
- Eating disorders
Also listed
- Attachment issues
- Body image
- Codependency
- Control issues
- Coping with life changes
- Drug and alcohol addiction
- Eating and food-related issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Life purpose
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Women's issues
Training and background
| Register | LCPC |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Nevada |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online care
Sarah uses evidence-based therapeutic techniques that focus on parts work and skills practice. Parts work helps people notice and speak with different parts of themselves - the protective parts and the vulnerable parts - so they can shift unhelpful patterns. This approach is useful for trauma responses, shame, and tangled self-worth issues.She also incorporates skills-based strategies that teach concrete tools for managing emotions and behavior. These exercises might include journaling prompts, breathing and body-awareness practices, and step-by-step plans for handling cravings or compulsive urges. Such strategies support progress on addictions, eating concerns, and mood regulation.
Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and how symptoms show up in daily life to decide which techniques to try first. Adjustments are made along the way based on what helps.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people read facial cues and practice skills together, phone sessions need less bandwidth and can fit a shorter break, live chat can be useful for quick check-ins, and text messaging supports ongoing reminders and journaling prompts between sessions. These options provide flexibility to fit therapy into a busy life.
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Common questions
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How much clinical experience does she have?
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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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