Sabrina Howell, LCMHC

Sabrina Howell is a Licensed Clinical Mental Health Counselor (LCMHC) with 20 years of experience helping people navigate stress, anxiety, relationship strain, and trauma and abuse. She takes a collaborative, client-centered approach and treats each person as the expert on their own life. Sabrina focuses on practical goals you set and stays alongside you as you work toward them.

Sabrina uses a holistic view to talk about problems. She looks at how feelings show up in the body, thoughts, daily routines, relationships, and work. Sessions often include skills from cognitive behavioral therapy to change unhelpful thinking and behavior. Mindfulness practices are also used to help manage strong emotions and reduce reactivity.

She has long experience addressing grief, parenting stress, mood and personality concerns, ADHD, and the fallout from abandonment or attachment wounds. Sabrina also supports people dealing with self-harm urges, impulsivity, and the specific strains of adoption and foster care histories. Her work includes attention to veterans and armed forces issues when relevant.

Sabrina believes change happens in a practical, step-by-step way. Early sessions focus on clear, manageable goals and on small skills to try between meetings. She will check in about progress and adjust the plan as needed.

Messages are typically answered once per day Monday through Saturday, usually after 5:00 p.m. Eastern Standard Time. At the end of the first session, the therapist and client decide together whether to continue working together.

How these approaches translate to online work

Sabrina draws on client-centered therapy to place the client's goals first, and on cognitive behavioral therapy to teach clear skills for worry, mood changes, and relationship patterns. Client-centered work focuses on listening and shaping goals you want to reach, while CBT gives step-by-step tools to try between sessions.

Mindfulness therapy is used to help calm the body and notice thoughts without acting on them. Mindfulness exercises can reduce reactivity and improve focus, which can help with anxiety, mood swings, and stress from life transitions.

Finding the right mix of approaches is part of the process. Sabrina will collaborate with each person to pick methods that match their needs, goals, and preferences. The early sessions review what has helped before and which strategies feel manageable now.

Please confirm current session options before booking, as the therapist's profile does not list specific formats here. Online therapy can make it easier to fit appointments into a busy week, reduce travel time, and allow for shorter check-ins when needed. Talk with the therapist about which session rhythm and format best fits daily life and goals.