About Sarah
Sarah Duncan is a licensed clinical social worker with nine years of experience helping people manage stress, anxiety, depression, and addiction. She also supports those facing relationship and family tension, intimacy questions, career concerns, and major life changes. Sarah practices in Texas and works in English.
Sarah takes a straightforward, compassionate approach in sessions. She aims to create a calm space where clients can speak openly about thoughts and feelings.
How Sarah works
She avoids judgment and focuses on practical steps that fit each person's life and goals. Her work combines several well-known methods. Cognitive behavioral techniques help identify unhelpful thinking and build new habits.
Acceptance and Commitment Therapy supports values-based action when emotions feel overwhelming. Mindfulness practices teach simple ways to notice stress and feel steadier in the moment. Sessions often include short exercises, real-world homework, and reflective conversation.
Sarah incorporates narrative ideas to help people make sense of difficult experiences and find a clearer path forward. She also brings attention to coping skills for caregivers and those facing aging or health-related worries. Sarah offers a warm, practical style for people who want direct guidance and everyday tools.
She encourages small steps and tracks progress together. If someone is ready to try a different way of handling stress or rebuilding after loss, she helps plan the next steps.
Sarah lists 7 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
- Aging and geriatric issues
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Forgiveness
- Intimacy-related issues
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that fit online work
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck, then choose actions that match their values; it is useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy focuses on changing unhelpful thoughts and behaviors through practical exercises and homework, which works well for stress, mood disorders, and many anxiety concerns. Client-Centered Therapy places the person at the center of care and emphasizes listening, empathy, and the client's own goals to guide progress.Finding the right approach is part of the work. Sarah will talk with each person about their needs, goals, and what feels most helpful. Together they decide which methods to try and adjust the plan as progress is made, so therapy stays relevant and collaborative.
Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging. Video calls allow face-to-face conversation and visual cues. Phone sessions are often shorter and can fit into a work break or a busy day. Live chat and messaging let people check in between sessions or use written reflection when speaking feels hard. These options make it easier to keep therapy consistent despite a busy life.
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Common questions
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What are the first steps to begin therapy?
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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