Sarah Fagan

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with about ten years of counseling experience. She presents as warm and approachable and aims to create a relaxed, respectful space where people can be honest and seen. Her way of working emphasizes adaptability and a focus on strengths so sessions fit each person’s needs and preferences.

Sarah focuses on practical problems people bring into therapy. She helps with stress, anxiety, anger, grief, trauma and abuse, parenting and family concerns, relationship struggles, substance use, attention differences, mood conditions, and major life changes. She also addresses issues like abandonment, attachment challenges, adoption and foster care, body image, chronic health issues, caregiver strain, and communication problems.

Her style is person-centered and multicultural, leaning on approaches that match the client’s goals. She blends methods such as cognitive behavioral techniques, acceptance and commitment ideas, attachment-based perspectives, and existential thinking to make clear, usable changes. She may also draw on narrative work, mindfulness, EMDR, or creative elements when helpful.

In sessions she aims to be nonjudgmental, honest, and compassionate while staying professional. People can expect straightforward conversation, practical strategies, and attention to personal values and strengths. She welcomes learning about clients’ interests and often brings music, nature, or creative activities into the process.

If someone is ready to begin a new chapter, Sarah supports collaborative planning and goal-setting to help people move toward fuller wellbeing.

How therapy approaches guide online work

Acceptance and Commitment Therapy (ACT) focuses on helping people notice their thoughts and choose actions that reflect their values. It is useful for anger, anxiety, stress, and life changes because it emphasizes what matters most rather than getting stuck on uncomfortable thoughts. Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thinking and change behaviors that keep problems going. CBT is often applied to anxiety, depression, anger patterns, and coping skills in day-to-day life. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people build different ways of relating and setting boundaries, which can be relevant for family and relationship concerns.

Choosing an approach is part of the work together. The therapist will talk with each person about goals, preferences, and what feels right. That collaboration helps shape which methods are used and how sessions proceed, so treatment fits the client rather than forcing a single model.

The original biography does not list specific online session formats, so please confirm current options before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when needed. It also lets people bring material from everyday life into sessions and apply techniques between meetings. Licensed professionals can adapt ACT, CBT, and attachment-focused tools to remote sessions so clients get practical strategies and a plan they can use outside of appointments.