Sarah Fagan

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with about ten years of counseling experience. She focuses on helping people facing stress, anxiety, grief, trauma, parenting challenges, relationship strain, and career questions. Her style is warm and approachable and she aims to make sessions feel relaxed and straightforward.

Sarah centers sessions on the person in front of her. She listens without judgment and adapts her way of working to each person's needs and preferences. Clients can expect honest guidance, practical tools, and a focus on strengths and everyday coping skills.

Her work often addresses family dynamics, parenting and guardianship concerns, friendships, romantic relationship struggles, boundaries, childhood and domestic abuse, fears and phobias, self-esteem, depression, ADHD, autism spectrum concerns, caregiving stress, and major life changes. She also supports people dealing with chronic illness, cancer, and substance-related difficulties.

Sarah uses a mix of approaches depending on the situation. That may include cognitive behavioral methods, attachment-based ideas, acceptance and commitment strategies, existential perspectives, and client-centered practices. She may bring in creativity, music, nature, or humor when it helps progress.

Her aim is to work collaboratively so clients can build skills and make choices that fit their lives. To begin, she asks people to complete a short matching questionnaire and schedule sessions according to her availability.

How her approaches shape online counseling

Acceptance and Commitment Therapy (ACT) focuses on helping people notice unhelpful thoughts and learn which values matter most to them. It can help with anxiety, depression, and motivation by teaching skills for taking action even when feelings are difficult. Attachment-Based Therapy looks at how early relationships influence current patterns. It helps people change repetitive relational habits and build clearer boundaries and trust. Client-Centered Therapy emphasizes listening and acceptance; the therapist follows the client's lead and supports self-discovery and personal growth.

Finding the right approach is part of the work together. Sarah will talk with each person about their needs, goals, and preferences and use that conversation to decide which methods to try. This happens in collaboration so clients feel involved in the plan and can shift course when something does not fit.

If you are thinking about online sessions, confirm the current session options when you book. Online work can make it easier to fit therapy into a busy schedule, shorten commute time, and allow for check-ins during work breaks or between errands. It can also offer ways to practice skills in everyday settings and to bring real-life examples directly into sessions. Ask about available formats before scheduling so you know what will suit your routine.