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LPC, LMHC

Sarah Ritchea O'Connor, LPC, LMHC

  • Experience10 years
  • LocationTexas
  • Focus areasADHD, Stress and Anxiety, and Family
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About Sarah

Sarah Ritchea O'Connor is a licensed counselor who concentrates on concerns such as stress, anxiety, trauma, grief, depression, relationship and intimacy difficulties, ADHD, and a wide range of related issues.

Background and approach

With a decade of clinical work, she adapts conversations and care to each person's unique needs, offering support for addictions, eating and sleeping problems, caregiver stress, and challenges around self-esteem and life purpose. She also addresses issues connected to gender identity, HIV/AIDS, hoarding, and other focused concerns.

Holding LPC and LMHC credentials and licensed to practice in Texas, Sarah emphasizes an open-minded, respectful approach that values sensitivity and compassion. She reports experience with mood disorders including bipolar presentations and has provided care for people in the LGBTQ+ community and those confronting trauma or complicated grief.

Sarah frames therapy as a collaborative process and tailors treatment plans to match each client’s specific goals and circumstances. Her practice aims to help people find clearer coping strategies, improved communication, and greater clarity about next steps in life and career.

Online approaches that meet you where you are



Attachment-Based Therapy focuses on how early relational patterns shape current ways of connecting and responding to stress; it helps people explore relationship dynamics and build more supported interpersonal skills. Cognitive Behavioral Therapy (CBT) centers on identifying and shifting unhelpful thinking and behavior patterns; it is often useful for anxiety, depression, and practical coping strategies. Dialectical Behavior Therapy (DBT) teaches skills for emotional regulation, distress tolerance, and interpersonal effectiveness, making it helpful when strong emotions or relationship conflicts interfere with daily life.

Deciding which approach to use is a collaborative process. The therapist will work with each client to understand their history, goals, and preferences and then tailor methods to fit those needs. Over time the plan can be adjusted based on what proves most helpful for progress and comfort.

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 balancing work, family, and other commitments, and they allow licensed professionals to use the same therapeutic techniques adapted for virtual sessions.

Frequently asked questions

What kinds of concerns does Sarah support?
She works with a broad range of issues including stress, anxiety, trauma and abuse, grief, depression, relationship and intimacy difficulties, addictions, ADHD, and related challenges such as body image and caregiver stress.
What is her therapeutic style and approach?
Her approach blends client-centered care with evidence-informed methods like CBT, DBT, attachment-based work, and existential perspectives to create a personalized plan focused on the client’s goals.
How much clinical experience does she have?
She has 10 years of professional counseling experience, having worked with people facing mood disorders, trauma, eating concerns, and LGBTQ+ related issues.
Where is she licensed and practicing?
Sarah holds LPC and LMHC credentials and is licensed in Texas; credential details include TX LPC 70186 and WA LMHC LH 61531518.
Can non-English speakers work with her?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are fees and subscriptions handled?
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 her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling a session according to therapist availability.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Body imageCaregiver issues and stressCommunication problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMulticultural concernsObsessions, compulsions, and OCDPolyamory / non-monogamous relationshipsPost-traumatic stressSelf-harmSelf-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational Interviewing

Experience

10+ years

Licensed

Texas, Washington

Languages

English

What Sarah can help with

Sarah Ritchea O'Connor works with clients on stress and anxiety, family conflicts, trauma and abuse, grief, and depression.

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

How Sarah approaches therapy

Sarah's clinical approaches include Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Mindfulness Therapy, and Motivational Interviewing.

Experience and training

Sarah is a Licensed Professional Counselor practicing in Texas, with 10 years of clinical experience.