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SH Portrait of Sabrina Howell

Sabrina Howell

Collaborative, CBT-informed care for life transitions

LCMHC North Carolina

Experience
20 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Sabrina

About Sabrina

Sabrina Howell is an LCMHC with two decades of clinical experience who blends cognitive behavioral techniques with a holistic, client-led approach.

Background and approach

She frames therapy as a collaborative relationship in which clients set their own goals while she companions them through the process, exploring how symptoms affect body, mind, spirit, relationships, and work.

Her practice addresses common presentations such as panic, anxiety, depression, grief, and stress, and includes care for mood and personality concerns as well as coping with life changes and parenting challenges. She also brings experience working with trauma and abuse, using trauma-focused methods to help children and families as well as adults who feel stuck by past events.

Sabrina draws on client-centered principles to create space for clients to identify priorities and to guide interventions that fit each person’s needs. Based in North Carolina and licensed as NC LCMHC 5181, she accepts international clients and offers sessions through several online formats to increase access for people in different circumstances.

Approach-focused online therapy for practical change

Client-centered therapy emphasizes understanding the client's perspective and creating a collaborative environment where the client's priorities guide the work. This approach supports exploration of goals and personal values and helps people identify what matters most in their lives.

Cognitive Behavioral Therapy (CBT) offers practical strategies to identify and shift unhelpful thoughts and behaviors that contribute to anxiety, depression, panic, and stress. CBT techniques can be used to build coping skills for mood concerns, relationship patterns, and life transitions.

Finding the right therapeutic approach happens together. The therapist will work collaboratively with each person to determine which combination of client-centered listening, CBT techniques, mindfulness practices, or trauma-focused interventions best match the client's goals, preferences, and current needs.

Online sessions are offered via video, phone, live chat, or text-based messaging to provide flexibility for different schedules and circumstances. These formats make it easier to maintain continuity of care during life changes and offer multiple ways to communicate depending on what feels most helpful for the client.

Frequently asked questions

What concerns does she commonly address?
Sabrina works with a range of issues including anxiety, depression, stress, relationship and family difficulties, trauma and abuse, grief, bipolar concerns, ADHD, and self-esteem challenges.
How would you describe her therapeutic style?
Her style is collaborative and holistic, drawing from cognitive behavioral therapy, client-centered techniques, mindfulness, and trauma-focused work to tailor treatment to each person.
How long has she practiced therapy?
She brings 20 years of clinical experience to her practice and has worked with individuals, couples, children, and families across a variety of concerns.
What are her credentials and where is she based?
She is licensed as NC LCMHC 5181 and practices from North Carolina.
Can she work with people who live outside the United States?
Yes, she accepts international clients and conducts sessions with English-speaking clients from other locations.
Which session formats are available?
Clients can schedule video calls, phone sessions, live chat, or text-based messaging depending on what fits their needs.
How are fees and payment handled?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What does the first step look like to begin therapy?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also works with

GriefParenting issuesSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBody imageDisruptive Mood Dysregulation Disorder (DMDD)EmptinessImpulsivityIntellectual disabilityVeteran and Armed Forces IssuesMood disordersPersonality disordersSelf-harmYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

20+ years

Licensed

North Carolina

Languages

English