About Sarah
Sarah Larsen-Astrones uses practical, evidence-based therapeutic techniques to help people manage stress, anxiety, and life transitions. She brings 13 years of experience and holds an MD plus counseling licenses in Maryland and Nebraska. Her approach is straightforward and focused on real-life changes, not jargon.
She helps people build confidence and improve focus. That includes support for attention and memory concerns often related to neurodivergence. Sessions emphasize clear goals and steps clients can try between meetings.
How Sarah works
Her work often addresses the emotional side of life change. Topics include self-esteem, coping with midlife shifts, and finding life purpose. She also supports those dealing with panic, social anxiety, isolation, guilt, shame, and forgiveness.
Communication and relationship patterns are a frequent topic. She helps people work through attachment issues, abandonment concerns, control struggles, and communication problems. Financial stress, men’s issues, and pregnancy or postpartum concerns are also within her scope.
Sarah previously supervised counseling interns and taught continuing education courses at colleges and universities in several states. She uses that background to combine practical teaching with therapeutic work, helping clients learn new skills and habits. People work with her to set achievable goals and experiment with small changes.
The focus is on what helps in daily life - better routines, clearer thinking, and calmer reactions. She offers sessions in English and practices under her Maryland and Nebraska licenses.
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
- ADHD
- Attachment issues
- Communication problems
- Control issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Panic disorder and panic attacks
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
Training and background
| Registers | MD, LCPC, LIMHP |
|---|---|
| Years in practice | 13 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Maryland |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based techniques and flexible online care
Many clients benefit from focused, skills-based approaches that teach tools they can use every day. Cognitive behavioral techniques help people notice unhelpful thoughts and test new ways of thinking; this is useful for anxiety, panic, and social fears. Mindfulness-based practices teach simple attention and breathing skills to reduce reactivity and improve concentration, which can help with stress and focus issues.Finding the right approach is a collaborative process. The therapist will work with each person to identify goals, try methods, and adjust based on what helps. Together they decide which techniques fit the client’s needs and preferences rather than using one fixed method.
Online therapy offers practical benefits for busy lives. Video calls are good for in-depth sessions and face-to-face conversation. Phone sessions can be easier when bandwidth is limited or a camera feels uncomfortable. Live chat or text-based messaging allow quick check-ins, brief skill coaching, or flexible check-ins between sessions. These options make it easier to maintain continuity of care while fitting therapy into a varied schedule.
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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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