- Stress and anxiety
- Social anxiety
- Self esteem work
About Sarah
Sarah Larsen-Astrones is a Licensed Clinical Professional Counselor (LCPC) in Maryland and a Licensed Independent Mental Health Practitioner (LIMHP) in Nebraska with 13 years of experience. She helps people with stress, anxiety, low self-esteem, and coping with life changes, and lists social anxiety and phobia among her focus areas.
She has worked in colleges and universities and has served as a counseling intern site-supervisor and continuing education course provider. That background means she is familiar with common struggles around motivation, confidence, concentration, and focus. She also notes experience supporting people with attention and memory concerns related to neurodivergence.
In sessions she listens for practical patterns that make everyday situations harder. She talks with people about how thoughts, habits, and surroundings affect stress and anxiety. Conversations aim to identify small, manageable steps a person can try between meetings to notice what helps and what does not.
Sarah often addresses relationship patterns like attachment and abandonment concerns, communication problems, and issues around control or forgiveness. She also works with emotions such as guilt, shame, and isolation, and with life transitions like midlife change, pregnancy and childbirth, and money or career stresses.
Her approach favors clear, evidence-based techniques presented in straightforward terms. People who struggle with panic attacks, social anxiety, or persistent worry will find a practical focus on skills and problem solving. To begin, she asks people to complete a short matching questionnaire and schedule a first session through the site.
How evidence-based methods are used in online sessions
Sarah uses evidence-based therapeutic techniques delivered in straightforward language. One common approach focuses on identifying unhelpful thought patterns and testing them with small behavioral experiments to reduce anxious responses. This helps people who feel paralyzed in social situations or who experience panic by breaking problems into manageable steps. Another frequent approach teaches concrete coping skills for anxiety and panic, such as short grounding practices and breathing strategies, to be used when symptoms rise.Finding the right method is a collaborative process. The therapist will work with each person to decide which techniques fit their goals and comfort level, and will adjust the plan as progress and preferences become clearer. Sessions are intended to be practical and paced to what the person can manage between meetings.
The biography does not list specific session formats, so confirm the current options before booking. In general, online sessions can make it easier to fit meetings into a busy day, allow for shorter check-ins when needed, and remove travel time. They can also let people try techniques in real time and then discuss what worked during the next session.
Areas of expertise
Additional focus areas
Experience
13+ years
Listed in
Maryland, Nebraska
Languages
English
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, self-esteem, coping with life changes, ADHD, and related issues such as social anxiety and phobia.
What is her therapeutic approach like?
Her approach uses clear evidence-based techniques and a focus on practical skills. Sessions emphasize finding small steps people can try between meetings.
How much experience does she have?
She has 13 years of professional experience, including roles as a counseling intern site-supervisor and a continuing education course provider.
What are her credentials and location?
She is credentialed as an LCPC in Maryland and as a LIMHP in Nebraska, and she lists Maryland as a primary location.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not accepted at this time.
How does cost and payment work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.