About Sarah
Sarah Ritchea O'Connor helps people manage stress, anxiety, grief, depression, and trauma. She also supports concerns around addictions, intimacy, body image, and parenting. Sarah is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with ten years of experience.
She works from Texas and offers sessions in English. Sarah aims to create a respectful and open space for people from many backgrounds. She says the first step is often the hardest.
How Sarah works
She meets each person where they are and adapts conversations to their needs. Her approach draws on relationship-focused work and practical skills. She uses attachment-informed ideas to look at how connections shape feelings and behavior.
She also uses client-centered listening to make sure people feel heard before introducing tools. Sarah incorporates cognitive behavioral techniques to help change unhelpful thoughts and DBT strategies for managing strong emotions. She blends these with existential themes when people want to talk about meaning and life direction.
This mix lets her tailor sessions to problems like sleep or eating issues, caregiver stress, and career concerns. She has recent experience supporting people from the LGBT community and those facing first responder or veteran-related stress. Sarah says treatment plans are individualized, and she works with clients on practical steps, homework, and skill practice between sessions.
Her tone is direct but compassionate, aiming for steady progress over time.
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.
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
Training and background
| Registers | LPC, LMHC |
|---|---|
| Years in practice | 10 |
| 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
Therapeutic approaches and online care
Attachment-based work focuses on how relationships shape feelings and behavior. It helps people who struggle with trust, closeness, or repeating painful relationship patterns by looking at past and current connections and developing healthier ways of relating.Cognitive Behavioral Therapy, or CBT, uses practical exercises to change unhelpful thoughts and behaviors. It is useful for anxiety, depression, sleep and eating problems, and for building concrete coping skills that people can practice between sessions.
Dialectical Behavior Therapy, DBT, teaches skills for managing intense emotions, reducing impulsive actions, and improving communication. These tools are often used when stress, anger, or relationship conflicts feel overwhelming.
Finding the right approach is a collaborative process. The therapist will talk with the client about goals, try approaches that suit their needs, and adjust the plan based on what works. This means clients help shape which methods are used and how sessions proceed.
Online therapy offers flexible ways to meet by video calls, phone, live chat, or text-based messaging. Video fits fuller conversations and visual cues, phone works well when bandwidth is limited, chat can be a shorter check-in, and messaging lets people share between sessions. These options make it easier to fit therapy into a busy life and keep continuity over time.
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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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