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LCMHC

Sabrina Howell, LCMHC

  • Experience20 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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Check the available next steps for working with Sabrina online.

About Sabrina

Sabrina Howell is an LCMHC with two decades of clinical experience who centers her work on a collaborative, client-directed process. She blends client-centered principles with cognitive-behavioral strategies to help people examine goals and cope with symptoms such as panic, anxiety, and depression.

Background and approach

Her practice emphasizes a holistic view of wellbeing, considering how body, mind, spirit, relationships, and work interact as clients navigate life transitions and challenges. Drawing on trauma-focused methods when indicated, she supports individuals and families affected by traumatic experiences and works with couples as well as adults individually.

Sabrina has experience addressing a broad range of concerns including stress, grief, parenting difficulties, ADHD, mood and personality disorders, and issues related to adoption and attachment. She aims to help clients identify where they feel stuck and to develop practical steps forward.

Based in North Carolina, she offers services in English and accepts international clients.

Therapeutic approaches and how they work online

Client-centered therapy focuses on creating a collaborative relationship in which the client sets goals and the therapist responds with empathy and support; this approach helps people clarify values, set priorities, and build confidence in making changes. Cognitive behavioral therapy (CBT) emphasizes identifying unhelpful thoughts and patterns and developing practical skills to manage symptoms like anxiety, panic, and depression. Trauma-focused therapy concentrates on processing traumatic experiences and teaching strategies to reduce trauma-related distress and improve functioning.

Deciding which approach fits best is a collaborative process. The therapist will work with each client to explore goals, preferences, and responses to different techniques and then adapt the plan as needs evolve. That collaborative stance aims to match methods to what helps the client move forward rather than imposing a single modality.

Offering video calls, phone sessions, live chat, and text-based messaging makes it easier to access consistent care amid busy schedules or geographic distance. These formats allow for flexible scheduling, continued skill practice between sessions, and multiple ways to communicate depending on comfort and immediate needs, while licensed professionals guide the therapeutic work and help clients apply strategies to daily life.

Frequently asked questions

What kinds of concerns does she address?
Sabrina works with a wide range of issues including stress, anxiety, relationship and family difficulties, trauma and abuse, depression, grief, parenting challenges, self esteem, bipolar disorder, coping with life changes, and ADHD.
What therapeutic style can I expect?
The practice emphasizes a collaborative, client-centered stance combined with cognitive-behavioral techniques and trauma-focused interventions when appropriate. Mindfulness principles are also incorporated to support emotional regulation and present-moment awareness.
How much clinical experience does the therapist have?
She brings 20 years of experience in mental health care, working with individuals, couples, children, and families across a variety of concerns and life stages.
What are the clinician's credentials and where are they based?
The clinician holds the credential LCMHC with licence NC LCMHC 5181 and is located in North Carolina.
Is therapy available in other languages or to international clients?
Sessions are offered in English, and she accepts international clients for online work.
Which session formats are offered?
Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are costs and billing handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also works with

GriefParenting issuesSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBody imageDisruptive Mood Dysregulation Disorder (DMDD)EmptinessImpulsivityIntellectual disabilityVeteran and Armed Forces IssuesMood disordersPersonality disordersSelf-harmYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

20+ years

Licensed

North Carolina

Languages

English

What Sabrina can help with

Sabrina Howell works with clients on stress and anxiety, relationship issues, family conflicts, trauma and abuse, and depression.

Sabrina works with adults individually and as couples.

Sabrina works with children and families and helps them deal with trauma.

How Sabrina approaches therapy

Sabrina's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Trauma-Focused Therapy.

Experience and training

Sabrina is a Licensed Clinical Mental Health Counselor practicing in North Carolina, with 20 years of clinical experience.