Sarah Fagan

Sarah Fagan is a Licensed Clinical Mental Health Counselor in North Carolina with about ten years of counseling experience. She focuses on helping people navigate big life shifts, parenting stress, grief, trauma, anxiety, and struggles with self-esteem. Her style is warm and approachable, and she aims to make people feel heard without judgment.

She adapts her work to each person's needs and preferences. Sessions draw on person-centered and strengths-based ideas, and may use tools from cognitive behavioral therapy, acceptance and commitment therapy, attachment-based therapy, existential therapy, and EMDR when appropriate. Sarah often brings creativity into sessions, such as music or nature-based metaphors, when it fits the client's interests.

Her background includes helping people cope with family dynamics, adoption and foster care concerns, attachment issues, autism spectrum concerns, ADHD, chronic illness, caregiver stress, and work-related compassion fatigue. She has experience with trauma including childhood and domestic abuse, as well as mood disorders and addictions.

Sarah describes herself as honest, respectful, and compassionate. She aims to create a relaxed atmosphere where clients can be themselves and explore practical steps forward. Her adaptability means she adjusts pace and tools to match what a person needs in the moment.

If someone is ready to begin a new chapter, Sarah offers collaborative care that focuses on practical skills, emotional processing, and rebuilding routines. She invites clients to share their interests so therapy can include meaningful, personal elements.

How certain approaches can help online

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed steps toward them while learning simple skills to sit with difficult thoughts and feelings. It can help when life changes leave someone feeling unmoored or stuck in worry. Cognitive Behavioral Therapy (CBT) breaks down patterns of thoughts and behaviors that keep problems going and teaches practical skills to change them, which is useful for anxiety, depression, and coping with daily stress. Attachment-Based Therapy looks at how early relationships shape expectations and connection needs, and it helps people repair patterns that affect parenting, partnerships, and family dynamics.

Choosing the best approach is collaborative. The therapist will listen to your goals and try different methods to see what fits. Together you will set priorities, test practical strategies, and adjust the plan based on what helps most in real life.

The biography does not specify which online session formats are offered, so confirm current options before booking. Online work can make it easier to fit sessions into a busy life - for example, shorter check-ins on a lunch break, avoiding travel time, or using a phone call when bandwidth is limited. Many people find therapy online helps keep momentum between big life events and makes consistent support more feasible.