Sarah Knight , LMHC

Sarah Knight is a Licensed Mental Health Counselor (LMHC) based in Washington with 11 years of experience supporting children, teens, adults, and families. She earned a Master of Arts in Marriage and Family Therapy from Whitworth University in 2014 and integrates training in attachment work, client-centered methods, cognitive behavioral strategies, mindfulness, and solution-focused techniques to tailor care to each person’s needs.

Her practice emphasizes empathy, genuine presence, and unconditional positive regard. Sarah approaches therapy with the belief that people are experts on their own lives, and she works collaboratively to clarify goals, reduce distress, and shift unhelpful thinking and behavior patterns. She draws on client-centered principles to build a trusting relationship and uses targeted cognitive and solution-focused tools to address symptoms and practical concerns.

Sarah helps clients navigate a wide range of issues including stress, anxiety, depression, relationship and family difficulties, parenting challenges, grief, career transitions, self-esteem and body image concerns, and trauma-related symptoms. Her background in family systems and couple work informs an approach that attends to attachment patterns, communication problems, and the broader context of a person’s life, with attention to realistic, achievable steps toward greater well-being.

Therapeutic Approaches and Online Care

Attachment-Based Therapy focuses on patterns of connection and how early relationships shape current emotional needs. It helps people understand relationship habits, improve trust and intimacy, and respond differently in close relationships. Client-Centered Therapy emphasizes empathy, respect, and the client’s own goals; the therapist offers a nonjudgmental presence to support self-exploration and decision-making, which can be especially helpful for issues related to self-esteem, life transitions, and finding direction. Cognitive Behavioral Therapy (CBT) teaches practical skills to identify and change unhelpful thoughts and behaviors, making it useful for anxiety, panic, mood concerns, and stress management.

Finding the right approach is part of the therapeutic process. Sarah works collaboratively with clients to identify which methods best fit their needs, goals, and preferences, and she adjusts strategies over time as progress unfolds. This joint decision-making helps ensure care aligns with each person’s values and circumstances.

Online therapy offers flexibility in how clients connect - video calls, phone sessions, live chat, or text-based messaging - which can make it easier to fit sessions into busy schedules, manage caregiving or work demands, and maintain continuity of care across life changes. Licensed professionals can adapt these approaches effectively in virtual formats to support ongoing growth and coping.