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MD, LCPC, LIMHP

Sarah Larsen-Astrones, MD, LCPC, LIMHP

  • Experience13 years
  • LocationMaryland
  • Focus areasADHD, Stress and Anxiety, and Self esteem
  • LanguagesEnglish
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About Sarah

Sarah Larsen-Astrones uses evidence-based therapeutic techniques to help people manage stress, anxiety, self-esteem issues, and the challenges that come with life transitions. She holds an MD and is licensed as an LCPC and LIMHP, bringing 13 years of clinical experience to her practice in Maryland.

Background and approach

Her work emphasizes practical strategies to improve concentration, memory, and focus, and she addresses concerns commonly associated with neurodivergence such as ADHD. Her background includes roles as a counseling intern site-supervisor and a continuing education course provider, with teaching experience at colleges and universities across multiple states.

This blend of clinical and educational work informs a collaborative, skills-focused approach that prioritizes clients' goals. She also supports people facing attachment and abandonment wounds, communication and control struggles, guilt and shame, and seasons of loneliness or midlife reevaluation.

Clients can expect a nonjudgmental environment where thoughts and feelings are explored openly while practical coping tools are introduced. Sarah frames the therapeutic journey as a courageous step toward greater well-being and works alongside each person to develop strengths, resilience, and clearer purpose.

Evidence-Based Approaches and Flexible Online Care

Sarah integrates evidence-based therapeutic techniques that focus on practical skill-building and symptom relief. One common approach she uses emphasizes cognitive and behavioral strategies to identify unhelpful thinking patterns and to develop concrete coping tools for anxiety, stress, panic, and self-esteem concerns. Another key focus targets attentional skills and executive functioning supports to help improve concentration, memory, and day-to-day organization for people coping with ADHD-related challenges.

Finding the right approach is part of the therapeutic process, and she works collaboratively with each person to tailor methods to their needs, goals, and preferences. Together they evaluate what techniques feel most effective and adjust the plan over time so that therapy remains relevant and goal-oriented.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and communication styles. These formats make it easier to maintain continuity of care while juggling work, family, or other obligations, and they allow licensed professionals to deliver consistent, skills-focused treatment from a distance.

Frequently asked questions

What concerns does this therapist commonly address?
She works with stress, anxiety, self-esteem, coping with life changes, and ADHD, along with related issues such as attachment, guilt, panic, and social anxiety.
What is the therapeutic style and approach?
Her practice relies on evidence-based therapeutic techniques and a collaborative, skills-focused style that emphasizes practical strategies for daily functioning and emotional regulation.
How much clinical experience does she have?
She has 13 years of professional experience, including roles as a counseling intern site-supervisor and a provider of continuing education courses at colleges and universities.
Where is the therapist licensed and located?
She is licensed in Maryland and Nebraska and maintains a practice based in Maryland with credentials MD, LCPC, and LIMHP.
Which languages are available for sessions?
Sessions are conducted in English only, and she is not currently accepting international clients.
What session formats are offered?
Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.
How is cost structured for sessions?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietySelf esteemCoping with life changesADHD

Additional focus areas

AbandonmentAttachment issuesCommunication problemsControl issuesForgivenessGuilt and shameIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesPanic disorder and panic attacksPregnancy and childbirthSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Experience

13+ years

Licensed

Maryland, Nebraska

Languages

English

What Sarah can help with

Sarah Larsen-Astrones works with clients on stress and anxiety, self esteem, coping with life changes, and ADHD.

Sarah works with clients with stress and anxiety, motivation, self esteem, and confidence.

Experience and training

Sarah is an MD practicing in Maryland, with 13 years of clinical experience.

Therapy style

Sarah taught at colleges and universities in multiple states.