About Sarah
Sarah Serfilippi is a licensed professional counselor with four years of clinical experience. She is licensed in Pennsylvania and Arizona and helps people who are feeling overwhelmed by stress, anxiety, depression, or relationship struggles. Sarah frames clients as the experts on their own lives and focuses on practical steps forward.
Her approach centers on listening carefully to each person's story and building from their strengths. Sessions are collaborative and paced to match what the person can handle.
How Sarah works
She aims to help people manage emotions, improve communication, and make clearer decisions during life changes. Sarah works with people dealing with attachment and abandonment concerns, avoidant personality patterns, and codependency. She also addresses body image, caregiver stress, chronic illness and pain, and the ripple effects of divorce and separation.
Practical skills for coping and clearer thinking are often part of the work. Narrative techniques are used to reframe difficult experiences and reduce the hold of painful memories. Mindfulness tools help ground people when anxiety or strong emotions arise.
Trauma-focused methods are applied when past hurt keeps showing up in current life. Her style is steady and supportive. People who want an approachable listener who will challenge unhelpful patterns may find this a good fit.
The goal is clearer choices and more manageable days.
Sarah lists 4 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
- Relationship issues
- Self esteem
Also listed
- Abandonment
- Attachment issues
- Avoidant personality
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 4 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online therapy
Client-centered therapy focuses on the person's own goals and perspectives and involves straightforward listening and supportive feedback to help someone find their own solutions. This approach fits many concerns such as anxiety, low self-esteem, and relationship stress.Mindfulness therapy teaches simple attention and breathing practices that reduce overwhelm and bring clearer thinking during anxious moments. These exercises work well in short check-ins by phone or text as well as during video sessions.
Narrative therapy helps people separate themselves from problem stories and rewrite how they view difficult events. It can be useful for addressing attachment wounds, codependency, or patterns that repeat across relationships.
Choosing the right approach is collaborative. The therapist will ask about goals, try methods in early sessions, and adjust based on what feels most helpful. Clients shape the pace and focus so therapy stays practical and relevant.
Online formats offer flexibility for busy lives. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a simpler, lower-bandwidth option for focused check-ins. Live chat or text-based messaging can support brief updates, skill practice between sessions, and people who prefer writing to speaking. These options make it easier to fit therapy into a workday, a caregiving schedule, or moments when shorter contact works best.
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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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