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SO Portrait of Sarah Ritchea O'Connor

Sarah Ritchea O'Connor

Supportive therapist combining practical skills and compassion

LPC, LMHC Texas

Experience
10 years in practice
Focus areas
Stress, Anxiety, Family, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages
English

About Sarah

Sarah Ritchea O'Connor is a licensed counselor with a decade of clinical experience who focuses on helping people navigate stress, anxiety, trauma, grief, depression, addictions, and relationship and intimacy concerns.

Background and approach

She brings experience supporting clients with body image and eating concerns, sleep and parenting struggles, bipolar disorder, ADHD, and compassion fatigue, and has worked with people facing caregiver stress, isolation, and life transitions. Her practice also addresses issues related to LGBT identity, gender dysphoria, HIV/AIDS, and other sensitive topics with respect and sensitivity.

Sarah blends evidence-informed strategies with a person-centered stance, tailoring conversations and treatment plans to each client's needs. She integrates cognitive behavioral techniques to identify unhelpful thinking patterns and DBT-informed skills for emotional regulation, while also drawing on attachment-based and existential perspectives to explore meaning, values, and relational patterns.

Licensed as an LPC and LMHC, she has practiced in Texas and Washington and emphasizes a collaborative, nonjudgmental approach that honors clients' backgrounds and goals. Clients who seek support for coping skills, life purpose, communication problems, or crisis recovery will find a clinician who prioritizes empathy and practical tools.

She frames therapy as a partnership aimed at building resilience, clearer self-understanding, and actionable steps toward change.

How evidence-based approaches translate to online care

Sarah integrates Cognitive Behavioral Therapy and Attachment-Based Therapy into online work. CBT focuses on identifying and shifting unhelpful thoughts and behaviors through practical exercises and skills practice, which can help with anxiety, depression, and stress-related patterns. Attachment-Based Therapy explores how early and current relationship patterns shape emotions and expectations, offering ways to build healthier connections and cope with relational wounds.

Choosing the right approach is part of the therapeutic process, and she approaches this collaboratively by listening to a client's needs, goals, and preferences. Together they consider which methods and goals feel most relevant, and adjust the plan as progress and insights emerge.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to fit therapy into daily life, maintain continuity between sessions, and use therapeutic tools in real time during moment-to-moment challenges.

Frequently asked questions

Which concerns does she commonly address?
She works with a broad range of issues including stress, anxiety, trauma and abuse, grief, depression, addictions, relationship and intimacy concerns, body image and eating issues, bipolar disorder, ADHD, and caregiver stress.
What therapeutic style does she use?
Her style is collaborative and client-centered, combining cognitive behavioral techniques with attachment-based and dialectical approaches to help clients develop coping skills and insight.
How much experience does she have?
She brings 10 years of professional counseling experience to her practice, having worked with diverse concerns across clinical settings.
What are her credentials and where is she licensed?
She holds LPC and LMHC credentials with licensing details TX LPC 70186 and WA LMHC LH 61531518, and is based in Texas.
Does she provide services in other languages or to international clients?
Sessions are offered in English only, and she is not accepting international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are sessions paid for and what is the cost structure?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Body imageCaregiver issues and stressCommunication problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMulticultural concernsObsessions, compulsions, and OCDPolyamory / non-monogamous relationshipsPost-traumatic stressSelf-harmSelf-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational Interviewing

Experience

10+ years

Licensed

Texas, Washington

Languages

English