Sabrina Howell , LCMHC

Sabrina Howell is a licensed clinician with two decades of experience helping people navigate anxiety, trauma, relationship struggles, grief, and other life transitions. As an LCMHC - Licensed Clinical Mental Health Counselor - she emphasizes a collaborative, client-led approach in which the individual sets their goals and she accompanies them through the therapeutic process. Her style is holistic, inviting exploration of how symptoms affect the body, mind, spirit, relationships, work, and other important life areas.

Sabrina draws from cognitive-behavioral methods and solution-focused strategies to help clients identify patterns and build practical skills. She is also trained in TFCBT - Trauma-Focused Cognitive Behavioral Therapy - and works with children and families around traumatic experiences, as well as with adults individually and with couples. She often helps clients move through moments where they feel stuck, addressing symptoms such as panic, anxiety, and depression that can follow those experiences.

Entering counseling with Sabrina is voluntary, and clients may end the relationship at any time. If ethical considerations suggest a different provider would better serve a client, she will offer referrals and contact information for other professionals. While specific outcomes cannot be guaranteed, Sabrina and each client work together to pursue meaningful progress. At the close of the first session she and the client decide whether to begin a counseling relationship. She typically responds to messages once per day, Monday through Saturday, usually after 5:00 p.m. EST.

Therapeutic Approaches for Online Care

Client-Centered Therapy focuses on the relationship between therapist and client, creating a collaborative space where the client's goals guide the work. This approach supports people who want to explore values, identity, relationships, and decision-making while feeling listened to and respected.

Cognitive Behavioral Therapy (CBT) helps clients identify and shift unhelpful thoughts and behaviors through practical techniques and skill-building. CBT is commonly used for anxiety, depression, stress, and patterns that interfere with daily functioning.

Trauma-Focused Therapy, including Trauma-Focused CBT, concentrates on processing traumatic experiences and reducing their impact on current life. It is often used with children, families, and adults who are coping with the effects of traumatic events.

Finding the right approach is part of the therapeutic process. Sabrina works collaboratively with each person to determine which methods best match their needs, goals, and preferences, and can adapt techniques over time as progress is made.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity across life changes, and connect with licensed professionals from different locations while tailoring care to the individual's routine and communication style.