Anna Sage , LPC, LMHC

Anna Sage is a licensed counselor who combines practical skills with empathic support to help adults facing a range of life challenges. She began her work in the mental health field as a peer specialist and progressed to training and practicing as a clinical mental health counselor. Over four years she has supported adults working through anxiety, depression, ADHD, addiction, family conflict, and grief, and she also offers focused care for hoarding, hospice and end-of-life concerns, postpartum depression, and seasonal affective disorder.

Her clinical practice draws on a blend of evidence-informed methods, including Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Rational Emotive Behavior Therapy, and mindfulness techniques. Anna emphasizes creating a nonjudgmental space where people can be heard and understood, and she believes that change is possible when someone has guidance, practical tools, and sustained effort. She works collaboratively with each person to set goals and build strategies that fit their life and values.

Anna holds the credentials LPC and LMHC - Licensed Professional Counselor and Licensed Mental Health Counselor - and practices from Washington. Her approach balances structured skill-building with compassionate listening, aiming to reduce stigma and support meaningful, lasting change.

Therapeutic approaches for online care and skill-building

Anna Sage uses a few complementary approaches to support people through stress, anxiety, addiction, and grief. Client-Centered Therapy focuses on creating an empathic, accepting atmosphere where a person’s goals guide the work - this approach helps when someone needs space to be heard and to explore values and priorities. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thoughts and behaviors and teaches practical techniques to shift patterns that contribute to anxiety, low mood, or difficulty concentrating.

Dialectical Behavior Therapy, or DBT, offers skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be especially useful for managing intense emotions and improving relationships. Finding the best approach is part of the therapeutic process; Anna collaborates with each person to choose and adapt methods that match their needs, goals, and preferences so progress feels realistic and meaningful.

Online sessions by video call, phone, live chat, or text-based messaging make it easier to fit therapy into daily life. These options offer flexibility for scheduling, reduce travel time, and allow consistent access to a licensed professional from wherever a person is located within the therapist's service area.