- Stress and anxiety
- Concentration and focus
- Life purpose questions
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 professional experience. She has taught at colleges and universities and previously supervised counseling interns. She helps people address stress, anxiety, motivation, self-esteem, confidence, and coping with life changes.
She also brings experience supporting people with concentration, memory, and focus concerns often related to neurodivergence. Her work addresses common challenges such as panic attacks, social anxiety, and the everyday effects of feeling stuck. Life purpose is one of the topics she helps clients think through when major transitions make direction unclear.
In sessions she encourages open conversation about feelings, decisions, and practical barriers to change. Conversations often include examining attachment and abandonment concerns, communication difficulties, and control or trust issues. She also works with topics like guilt and shame, forgiveness, isolation, and money worries.
Sarah’s background includes teaching continuing education courses and supervising interns, which informs how she structures learning and practical skills in sessions. Her style tends to be straightforward and focused on usable steps people can try between meetings. She works in English and is licensed in Maryland; she does not accept international clients.
To start, prospective clients complete a short matching questionnaire and schedule a first session. Costs vary by location and use a subscription that can be canceled at any time.
How therapeutic approaches guide online sessions
Many evidence-based therapeutic techniques focus on concrete skills and behavior changes. Cognitive approaches look at patterns of thinking that increase anxiety or low self-esteem and teach practical ways to test and change those thoughts. Behavioral strategies add experiments and small practices between sessions to reduce panic, improve focus, or build confidence.Interpersonal and attachment-informed work examines how past relationships shape current patterns in communication and closeness. This type of work helps when abandonment, attachment issues, or problems with trust and control are getting in the way of decisions about work, relationships, or life purpose.
Finding the right approach is a collaborative process. The therapist will work with each person to decide which techniques match their goals, needs, and comfort. That choice can change over time as priorities shift and new information emerges.
The original biography does not list specific session formats, so confirm the current online options before booking. Online sessions can make it easier to fit therapy into a workday, reduce travel time, or allow shorter check-ins when schedules are tight. If video is available it lets the therapist observe nonverbal cues, while phone sessions can be useful when lower bandwidth or a quicker call is needed. Always check the platform and format options offered when scheduling.
Areas of expertise
Additional focus areas
Experience
13+ years
Listed in
Maryland, Nebraska
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, self-esteem, motivation, coping with life changes, and ADHD-related concentration and focus issues. Additional topics include panic attacks, social anxiety, and questions about life purpose.
How does she approach someone feeling stuck?
She focuses on clear conversation and practical steps to try between sessions. Work often includes looking at attachment, communication, and control patterns that keep people feeling stuck.
What is her professional background?
She has 13 years of professional experience and has taught at colleges and universities. She also served as a counseling intern site-supervisor and provided continuing education courses.
What credentials and location apply?
She holds LCPC in Maryland and LIMHP in Nebraska and practices from Maryland. These are the credentials listed for her work.
Does she work in languages other than English?
Sessions are offered in English. International clients are not accepted at this time.
What session formats are offered?
The original biography does not list specific session formats. Confirm the current session options before booking to know whether meetings are in-person, video, or phone.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time. Check the matching flow for specific pricing details.
How do I begin if I want to meet with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.