About Sarah
Sarah O’Brien is a licensed professional counselor (LPC) in Mississippi with nine years of experience. She helps people who are dealing with anxiety, stress, depression, grief, anger, panic symptoms, phobias, and life changes. She also supports parents, people coping with caregiving or cancer, and those facing issues like body image, attachment, and impulsivity.
Her style is warm and interactive. Sessions are centered on the person seeking help, with the client taking an active role in setting goals and guiding change.
Background and approach
She uses clear, practical steps so people know what to try between sessions. Therapy may include talking through thoughts and behaviors, practicing new coping skills, and focusing on solutions that fit daily life. She draws from cognitive behavioral ideas to spot unhelpful thinking and from solution-focused techniques to build workable strategies.
She also uses eye movement desensitization and reprocessing as part of trauma work when appropriate. Sarah adapts plans to each person’s situation rather than following a fixed script. She explains options plainly and helps people choose exercises that match their goals and routines.
Her approach aims to reduce symptoms and improve day-to-day functioning through steady, manageable steps. Sessions are available in video calls, phone sessions, live chat, or text-based messaging, and she can work with people both inside and outside the United States. To begin, a short questionnaire and scheduling step will help match people to the right format and timing.
How approaches like CBT and EMDR work online
Client-Centered Therapy focuses on listening and following the person's lead. The therapist reflects concerns, helps clarify goals, and supports decisions the person makes about change. This approach fits many concerns from stress to self-esteem.Cognitive Behavioral Therapy, or CBT, teaches practical skills to spot and change unhelpful thoughts and behaviors. It is often used for anxiety, panic symptoms, phobias, and depression by giving clear exercises to practice between sessions.
Eye Movement Desensitization and Reprocessing, called EMDR, is a method sometimes used for trauma and abuse. It involves processing distressing memories while using guided attention techniques to reduce emotional intensity over time.
Finding the right approach is part of the process and will be a collaborative decision. The therapist will discuss options, try brief exercises, and adjust methods based on the person's needs, goals, and preferences. Work moves at a pace that fits the individual rather than following a preset timeline.
Online therapy offers flexibility and practical convenience. Video calls let the therapist and client use visual cues and screen-shared worksheets. Phone sessions work well for quieter check-ins or when less bandwidth is available. Live chat or text-based messaging supports short updates, brief coaching, or ongoing check-ins between meetings. Together these formats make it easier to fit therapy into busy lives and offer multiple ways to stay connected.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Parenting issues
Also listed
- ADHD
- Anger management
- Attachment issues
- Body image
- Cancer
- Caregiver issues and stress
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- LGBT
- Life purpose
- Money and financial issues
- Panic disorder and panic attacks
- Phobias
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Mississippi
- Languages
- English
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