Sarah Fagan

Compassionate, practical support for life’s transitions

LCMHC North Carolina

Experience: 10 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Sarah

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with about ten years of clinical experience supporting people through major life transitions and relationship challenges.

Background and approach

She focuses on concerns such as stress and anxiety, depression and bipolar mood issues, trauma and grief, parenting and family dynamics, ADHD and autism-related challenges, and struggles with self-esteem, addiction, or career stress. Her practice also addresses attachment and abandonment concerns, blended family dynamics, chronic illness and caregiver stress, and other complex situations that affect everyday functioning.

Fagan’s manner is warm, approachable, and straightforward; she aims to create a relaxed atmosphere where clients can bring their whole selves. Her work is person-centered and strengths-based, combining practical tools from Cognitive Behavioral Therapy (CBT) with perspectives from Acceptance and Commitment Therapy, Attachment-Based and Existential approaches as appropriate.

She adapts methods to each client’s needs and often weaves creativity, nature, music, or humor into sessions when helpful. Clients who are ready to explore change, build coping skills, and reconnect with personal values may find her collaborative, flexible style supportive as they move toward renewed wellbeing.

How therapeutic approaches translate to online work

Sarah integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) into her online practice. CBT focuses on identifying and changing unhelpful thinking and behavior patterns through practical skill-building, which can help with anxiety, depression, and stress-related concerns. ACT emphasizes values-based action and acceptance of difficult experiences while developing psychological flexibility, often benefiting those facing life transitions, chronic health challenges, or ongoing emotional pain.

Choosing the right approach is a collaborative process. She will work together with clients to explore goals, preferences, and what feels most useful, adapting techniques from different modalities to fit each person’s situation rather than using a one-size-fits-all plan.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options allow clients to pursue consistent care from home or elsewhere, schedule around busy days, and use formats that match their communication style while maintaining therapeutic focus and momentum.

Frequently asked questions

What kinds of concerns does she work with?

She addresses a wide range of issues including stress, anxiety, depression, bipolar disorder, trauma and grief, parenting and family dynamics, ADHD and autism-related concerns, addiction, self-esteem, and career-related stress.

How would you describe her therapeutic style?

The approach is person-centered and strengths-based, blending practical CBT techniques with acceptance, attachment, and existential perspectives to match each person’s needs and preferences.

What experience does she bring to sessions?

She brings about ten years of professional counseling experience working with diverse concerns and adapting methods to individual situations and goals.

What are her credentials and where is she based?

She is licensed as an LCMHC in North Carolina with license number NC LCMHC 11797 and maintains a practice in that state.

Does she offer services in other languages or accept international clients?

Sessions are conducted in English and she is not currently accepting international clients.

Which session formats are available for working together?

She offers video calls, phone sessions, live chat, and text-based messaging to give clients flexible options for engagement.

How is cost handled for her sessions?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What are the first steps to begin working with her?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse GriefParenting issuesCoping with life changes

Also works with

AddictionsRelationship issuesFamily conflictsAnger managementSelf esteemCareer difficultiesBipolar disorderDepression Compassion fatigue ADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacks Phobias Post-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodMindfulness TherapyNarrative TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

North Carolina

Languages

English