About Sara
Sara Irwin is a licensed counselor who aims to help people feel less overwhelmed and stuck. She draws on 14 years of clinical experience focused on anxiety, stress, trauma, addictions, and relationship concerns. Sara speaks plainly and works to make each session feel understandable and usable for daily life.
Sara uses straightforward listening and problem solving to help clients name what is hard. She combines practical strategies with attention to emotions so people can try new behaviors and notice what works.
Background and approach
Sessions often include skill-building and short exercises to practice between meetings. Sara trained at Creighton University where she earned a master’s degree in Community Counseling. She has worked in clinic settings and independent practice with adults on issues such as grief, parenting struggles, mood disorders, impulse control, and substance use concerns.
Her background includes work across a broad range of life changes and stressors. Her approach blends cognitive behavioral techniques with acceptance-based and client-centered ideas. She draws on attachment-informed thinking when relationship patterns are part of the problem.
Dialectical skills are used when emotion regulation and distress tolerance are needed. Outside of work, Sara balances a busy family life and enjoys running, travel, reading, and being outdoors. She accepts international clients and offers sessions in English.
People who want practical steps and a collaborative plan to manage fears and day-to-day struggles often find her style direct and encouraging.
Using proven approaches in online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then take steps toward what matters most. It is often useful for anxiety, stress, and making value-based changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviors to reduce symptoms and improve daily functioning; it is commonly used for phobias, depression, and anxiety. Attachment-Based Therapy looks at how early relationship patterns affect current feelings and closeness, and can help when relationship patterns or intimacy issues cause distress.Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what has or hasn't helped in the past. That conversation guides which methods are tried first, and adjustments are made together over time.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different needs. Video calls let people work face to face from a chosen location. Phone sessions can require less bandwidth and are a simple option when movement or screen time is difficult. Live chat and text work well for brief check-ins, coaching-style messages, or when written reflection helps track progress. These options make it easier to schedule therapy around work, caregiving, or travel while keeping the focus on practical skills and steady progress.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Gottman Method
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 14 years
- Licensed
- Nebraska, Iowa, Missouri, Nevada, Texas, California
- Languages
- English
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