Sabrina Howell , LCMHC

Sabrina Howell practices therapy from a collaborative, client-led perspective, seeing each counseling relationship as a partnership where the client sets their own goals and the therapist accompanies them through the process. She takes a holistic approach, exploring how goals affect the whole person - body, mind, spirit - as well as relationships, work, and other life areas that matter to the client. Drawing primarily from cognitive behavioral therapy and solution-focused methods, she combines practical skill-building with goal-oriented strategies to help people move forward.

She works with adults individually and with couples, and she is trained in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to support children and families coping with trauma. Her practice focuses on common moments when people feel stuck, with symptoms such as panic, anxiety, and depression often present. Clients may also bring concerns related to stress, relationships, grief, parenting, self-esteem, bipolar disorder, ADHD, and a range of attachment or trauma-related issues.

Sabrina holds the credential LCMHC, which stands for Licensed Clinical Mental Health Counselor and indicates her training to provide clinical counseling. Entering counseling with her is voluntary, and clients may end the relationship at any time. If it becomes ethically appropriate to refer a client elsewhere, she will provide names of other professionals to contact. While specific results cannot be guaranteed, she and the client will work together to pursue the best possible outcomes. At the end of the first session they will decide whether to continue in a counseling relationship. She typically responds to messages one time per day, Monday through Saturday, usually after 5:00 p.m. EST.

How Sabrina Howell Uses Therapeutic Approaches Online

Client-Centered Therapy emphasizes a collaborative, respectful relationship where the client leads goal setting and the therapist provides support and reflection; this approach is useful for building self-understanding, improving relationships, and navigating life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors through practical strategies and tools, and it is commonly used for anxiety, depression, panic, and mood symptoms. Trauma-Focused Therapy, including TF-CBT techniques that Sabrina is trained in, helps people and families process and heal from traumatic experiences through age-appropriate, structured interventions.

Choosing the right approach is part of the therapeutic process, and Sabrina works together with each person to determine what fits best based on their needs, goals, and preferences. That collaborative exploration allows treatment to adapt over time as progress is made or priorities shift.

Online therapy with Sabrina can take place by video call, phone session, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to access consistent care from licensed professionals without traveling, support timely check-ins between sessions, and accommodate a range of communication styles and life demands.