About Sarah
Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with ten years of counseling experience. She aims to make therapy approachable and direct. Parents and adults worried about family stress, grief, anxiety, or major life changes will find a calm, respectful presence.
She emphasizes honesty, warmth, and a relaxed atmosphere so conversations can feel natural. Her work focuses on practical problems like parenting and family dynamics, relationships, self-esteem, mood disorders, trauma, ADHD, and coping with illness or caregiver strain.
How Sarah works
She also addresses addictions, career concerns, and stress related to healthcare work or natural disasters. Sarah adapts her style to each person's needs and preferences rather than following a single script. Therapy sessions center on the person in front of her.
She draws on several ways of working to fit the situation, including acceptance and commitment principles, attachment-focused ideas, client-centered listening, and cognitive-behavioral tools. She may also bring in creativity, nature, music, and humor when it helps someone engage. Sarah stresses collaboration and practical steps.
Together with clients she sets goals and tries techniques that can be used in daily life. She values strengths and cultural context while helping people manage emotions and build clearer boundaries. Her practice offers video calls, phone sessions, live chat, and text-based messaging.
Sessions use a subscription model that can be canceled at any time, and sessions are conducted in English for people located in North Carolina.
Sarah lists 10 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.
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online care
Sarah often combines acceptance and commitment ideas with attachment-based thinking and client-centered listening. Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck, and then choose actions that match their values. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people build safer ways of relating. Client-Centered Therapy emphasizes respectful, nonjudgmental listening so people can explore what matters to them and find their own solutions.Finding the right approach is part of the process. The therapist works collaboratively to match methods to goals, needs, and personal style. Sessions start with practical questions, and together they try tools and ways of working until something fits the client’s situation.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video calls let the therapist and client work face to face when that is useful. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are helpful for quick check-ins, brief coaching, or people who express themselves better in writing. These options make it easier to fit therapy around work, caregiving, and busy schedules.
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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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