Sarah Fagan , LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 10 years of professional counseling experience. She works with a broad range of people and concerns while maintaining a focus on family dynamics, parenting and guardianship, relationships, boundaries, grief, and trauma, including childhood and domestic abuse. Her practice also addresses anxiety, depression, bipolar disorder, ADHD, autism spectrum concerns, caregiving stress, chronic illness and pain, addictions, and major life transitions.

Sarah aims to create a warm, approachable atmosphere that balances professionalism with genuine human connection. She emphasizes a nonjudgmental, respectful, and compassionate stance, inviting clients to bring their whole selves to the work. Her counseling style is adaptable and person-centered - she draws on client strengths and cultural context to tailor interventions that fit each person's needs and preferences.

In sessions she may blend evidence-informed methods with experiential elements such as nature, music, creativity, and humor when appropriate. Sarah is particularly interested in supporting those navigating parenting and blended family issues, attachment and abandonment concerns, grief and loss, communication challenges, and the stresses of healthcare or military family life. She welcomes conversations about interests and will explore ways to incorporate them into therapy.

Therapeutic Approaches and Online Care with Sarah Fagan

Sarah often uses Acceptance and Commitment Therapy (ACT), which helps people clarify their values, develop psychological flexibility, and take meaningful action despite difficult thoughts or feelings. ACT can be helpful for stress, anxiety, depression, and life transitions. She also uses Attachment-Based Therapy to explore early relationship patterns and how they influence current connections - this approach is useful for relationship concerns, parenting and attachment issues, and healing from abandonment or adoption-related wounds. Additionally, she integrates Client-Centered Therapy, emphasizing empathic listening and collaboration so clients feel understood and respected while they set their own goals.

Finding the right approach is part of the therapeutic process. Sarah works collaboratively with each person to select and adapt methods based on their needs, goals, and preferences, adjusting over time as circumstances change.

Online therapy offers practical flexibility - sessions can take place by video call or phone, and shorter connections are possible via live chat or text-based messaging. These options support consistent access to licensed professionals for those with busy schedules, caregiving responsibilities, mobility limitations, or geographic constraints, while allowing therapy to fit into everyday life.