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LCMHC

Sarah Fagan, LCMHC

  • Experience10 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Sarah

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with ten years of professional counseling experience.

Background and approach

She works with people facing a broad range of concerns including stress, anxiety, trauma and abuse, grief, parenting and caregiving challenges, relationship and family issues, addiction, mood disorders such as bipolar and depression, compassion fatigue, and ADHD. She also addresses attachment and adoption-related issues, autism spectrum concerns, chronic health challenges, body image, and life transitions.

Her style is warm, direct, and adaptable, emphasizing a person-centered, strengths-based, and multicultural stance. Sessions aim to be respectful and nonjudgmental while remaining professionally grounded, and she intentionally creates a relaxed environment that invites authenticity.

Sarah integrates evidence-informed methods such as cognitive behavioral techniques, acceptance and commitment principles, attachment-based perspectives, existential exploration, and EMDR when clinically appropriate. Outside of specific techniques, she often weaves creativity, nature, music, and humor into the therapeutic process when it supports a client’s goals.

Prospective clients who value an empathetic guide who tailors care to individual needs may find her collaborative approach a helpful fit as they navigate change, healing, and growth.

Therapeutic Approaches and Online Care

Sarah brings cognitive behavioral therapy and acceptance and commitment therapy into online work to address thinking patterns and values-based action. CBT focuses on identifying and shifting unhelpful thoughts and behaviors to reduce anxiety, depression, and problem behaviors, while ACT helps clients clarify personal values and take committed steps toward meaningful goals despite difficult feelings.

She also uses attachment-based ideas to explore how early and current relationships shape expectations, boundaries, and emotional responses. This approach can be helpful for people navigating relationship conflicts, communication challenges, and patterns rooted in attachment history.

Choosing the right approach is treated as a collaborative process. The therapist and client work together to identify priorities, try techniques, and adjust the plan so that methods align with the client’s goals, preferences, and pace of change.

Online sessions are available by video, phone, live chat, or text-based messaging, offering flexible ways to engage in therapy from different locations. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and use the communication style that best supports each person’s progress.

Frequently asked questions

What types of concerns does she address?
She works with a wide variety of issues including stress, anxiety, trauma and abuse, grief, parenting and caregiving challenges, relationship and family difficulties, addictions, mood disorders, compassion fatigue, and ADHD.
What is her therapeutic style like?
Her style is warm, nonjudgmental, and adaptable; she follows a person-centered and strengths-based stance and blends evidence-based techniques to match each client’s needs.
How much clinical experience does she have?
She has approximately ten years of professional counseling experience working with diverse concerns and clinical approaches.
Where is she licensed and practicing?
She is licensed in North Carolina as an LCMHC with license number NC LCMHC 11797 and practices from that state.
Can she work with non-English speaking clients or international clients?
She conducts therapy in English and is not currently accepting international clients.
What session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.
How are fees and subscriptions handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefParenting issuesCoping with life changes

Also works with

AddictionsRelationship issuesFamily conflictsAnger managementSelf esteemCareer difficultiesBipolar disorderDepressionCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodMindfulness TherapyNarrative TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

North Carolina

Languages

English