Sarah Fagan, LCMHC
Collaborative, practical counseling for life's changes
Details
| Name | Sarah Fagan |
|---|---|
| Credentials | LCMHC |
| Based in | North Carolina |
| Licensed in | North Carolina |
| Session format | Online |
| Languages | English |
| Years in practice | 10 |
About Sarah
Sarah Fagan is a Licensed Clinical Mental Health Counselor in North Carolina with about ten years of counseling experience. She aims to be warm, direct, and nonjudgmental so people can talk honestly about stress, grief, trauma, parenting strains, mood changes, and questions around identity or behavior. Sessions are relaxed and straightforward, with space for real conversation rather than formal rigidity.
Sarah adapts her style to each person's needs. She uses narrative ideas to help people reframe life stories and Cognitive Behavioral tools to address upsetting thoughts and day-to-day habits.
Background and approach
She also draws on Acceptance and Commitment Therapy and attachment-based perspectives when those approaches fit the situation. Her work often touches on parenting and family dynamics, relationship issues, burnout and compassion fatigue, ADHD and autism-related concerns, chronic illness and caregiving stress, and recovery from abuse or significant loss.
She mentions bringing music, nature, creativity, or humor into sessions when helpful to the person in front of her. Sarah describes her core stance as person-centered and strengths-based, aiming to notice what already works and build on it. She prioritizes respect and honesty, and she adjusts her methods to match each person’s preferences and goals.
People start by picking the Start Therapy button, completing a short matching questionnaire, and scheduling a time. Sessions are offered through video calls, phone, live chat, or text-based messaging so therapy can fit into different routines.
What this therapist works with
Her listing names Stress, Anxiety, Trauma and abuse, Grief among the things Sarah works with, alongside the areas below.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Parenting issues
- Coping with life changes
- Addictions
- Relationship issues
- Family conflicts
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Depression
- Compassion fatigue
- ADHD
- Abandonment
- Adoption and foster care
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Sarah among the ways she works.
- Attachment-Based Therapy: Listed by Sarah among the ways she works.
- Client-Centered Therapy: Listed by Sarah among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Sarah among the ways she works.
- Existential Therapy: Listed by Sarah among the ways she works.
- Eye Movement Desensitization and Reprocessing (EMDR): Listed by Sarah among the ways she works.
- Gottman Method: Listed by Sarah among the ways she works.
- Mindfulness Therapy: Listed by Sarah among the ways she works.
- Trauma-Focused Therapy: Listed by Sarah among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Sarah directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Sarah directly how she uses it and what a session usually looks like.
Online session options
How narrative and action-focused approaches work online
Sarah often blends Narrative Therapy with Acceptance and Commitment Therapy and attachment-informed ideas. Narrative Therapy looks at the stories people tell about themselves and helps separate problems from the person so change feels possible. Acceptance and Commitment Therapy focuses on noticing thoughts and values, then taking small actions that matter even when emotions are strong. Attachment-informed work pays attention to how early relationships affect present patterns and helps people build steadier ways of relating.Finding the right approach is a collaborative process. The therapist will talk with the person about goals, try methods that fit those goals, and adjust as progress unfolds. That means starting with what matters most to the client and testing what helps in real life rather than sticking to a single technique.
Online therapy offers flexible ways to work together. Video calls support face-to-face conversation and shared exercises, phone sessions can fit into short breaks when bandwidth is low, live chat is useful for quick check-ins or focused problem-solving, and text messaging allows ongoing notes and reminders between sessions. These options make it easier to keep therapy consistent while fitting it into busy days.
Common questions about this listing
What kinds of concerns does Sarah help with?
She helps people with stress, anxiety, depression, trauma and abuse, grief, parenting pressures, relationship and family challenges, ADHD, bipolar concerns, and issues like self-esteem and burnout.
How would you describe her therapy style?
Her style is warm, direct, and adaptable. She combines narrative, client-centered, and cognitive-behavioral methods depending on what a person needs.
What is her professional background?
She has about ten years of counseling experience working with a broad range of concerns and life stages.
What credentials and region are listed?
She holds an LCMHC credential and practices in North Carolina.
Which languages are supported and are international clients accepted?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to suit different schedules and needs.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin if I want to work together?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule a session based on therapist availability.
Contacting this therapist
Sessions with Sarah are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Sarah where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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