Sarah Fagan, LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor in North Carolina with about ten years of counseling experience. She focuses on practical help for people facing trauma and abuse, grief, anxiety, stress, relationship and family concerns, and major life changes. Her style is warm and down-to-earth and she aims to make sessions feel relaxed and respectful.

She uses a person-centered, strengths-based, and multicultural frame. That means she listens first, then adapts methods to fit each person's needs. She often combines tools from cognitive behavioral approaches, attachment-focused work, acceptance and commitment ideas, and existential thinking to address problems in daily life.

Sarah has experience supporting people with parenting and guardianship challenges, adoption and foster-care issues, attachment wounds, abandonment, autism and ADHD, chronic illness and caregiver stress, and concerns tied to career or identity. She also works with anger, addiction, body image, and compassion fatigue in healthcare settings.

Sessions can include practical skills, emotion-focused dialogue, and opportunities to build new ways of relating and coping. She may bring music, nature, creative exercises, or humor into sessions when helpful. EMDR can be part of the work when trauma processing is needed.

She encourages collaboration about goals and methods. If someone is ready to begin, the process includes a short matching questionnaire and scheduling through the Start Therapy flow.

How therapeutic approaches shape online sessions

Acceptance and Commitment Therapy (ACT) helps people notice what matters to them and take small steps toward those values while accepting difficult feelings. It is useful for stress, anxiety, and life changes. Attachment-Based Therapy looks at how early relationships affect current patterns and helps people build safer ways of relating in close relationships. It is often used for attachment wounds, abandonment, and family concerns. Cognitive Behavioral Therapy (CBT) focuses on practical skills to change unhelpful thoughts and behaviors and is helpful for depression, anxiety, and coping with everyday problems.

Choosing the right approach is often a collaborative process. The therapist will work with each person to figure out which methods fit their goals and preferences and will adjust the plan as progress and needs change.

Confirm current session options before booking so you know what formats are available. Online work can make it easier to fit appointments into a busy life, save travel time, and allow shorter check-ins on a workday. Some people find video sessions useful for deeper conversation, while others prefer phone or text-based check-ins when they need a quicker or lower-bandwidth option. The focus is on practical ways to make therapy part of daily life rather than adding more stress.