About Sarena
Sarena Mestas helps people who are dealing with stress, anxiety, depression, bipolar disorder, relationship strain, and low self-esteem. She speaks plainly and focuses on concrete steps people can use in day-to-day life. Her approach is respectful and compassionate, and she tailors conversations to what each person needs right now.
She draws on twelve years of clinical experience and works from a few evidence-based approaches. Sessions aim to build skills for managing intense emotions, reducing panic, and improving communication.
How Sarena works
Practical tools are paired with space to tell your story and make sense of patterns that keep repeating. Sarena uses client-centered methods to make sessions collaborative and focused on the person's goals. She also uses cognitive behavioral techniques to identify unhelpful thoughts and experiment with new behaviors.
Dialectical behavior strategies and mindfulness practices are used when managing strong mood swings, impulsivity, or anxiety. People who struggle with body image, social anxiety, workplace stress, or women's issues can expect straightforward guidance and concrete exercises. The therapist pays attention to how daily routines, relationships, and self-talk affect mood and behavior.
Sessions move at a pace that fits each person and their goals. She is an LPC - Licensed Professional Counselor - practicing in Oregon and offers services in English. Sarena accepts international clients and adapts methods to fit different lifestyles and schedules.
Sarena lists 7 ways of working on the entry:
What Sarena works with
The areas below are the ones Sarena 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
Training and background
| Register | LPC |
|---|---|
| Years in practice | 12 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Oregon |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How her approaches work online
Sarena commonly uses client-centered therapy, cognitive behavioral therapy, and dialectical behavior strategies. Client-centered work means the conversation follows the person's goals and values, with the therapist acting as a collaborative listener who helps clarify what matters most. Cognitive behavioral therapy focuses on spotting unhelpful thoughts and testing new behaviors to reduce anxiety or depression symptoms. Dialectical behavior techniques teach concrete skills for emotion regulation, distress tolerance, and improving communication.Finding the right approach is part of the process. The therapist will talk with each person about their needs, goals, and preferences and will try methods that fit the situation. Sessions are collaborative and may combine techniques over time to see what helps best.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video calls work well for in-depth conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text messaging let people send updates or get brief support between longer sessions. These options help fit therapy into work, travel, or busy home schedules.
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Common questions
What concerns does she help with?
What is her therapy style like?
How much clinical experience does she have?
What credentials and location are listed?
Which languages are supported and can international clients connect?
What session formats are available?
How are sessions paid for and what does cost look like?
How do I begin working with her?
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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