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 brings a broad clinical background across ages and life stages while focusing on challenges that often arise within relationships and family systems, including parenting and guardianship concerns, blended-family dynamics, attachment issues, and the unique stresses faced by military families and caregivers.

Her clinical scope includes work with stress, anxiety, depression, bipolar conditions, trauma and abuse such as childhood and domestic abuse, grief, addictions, ADHD, autism spectrum concerns, chronic illness and pain, and major life transitions. She also addresses issues like self-esteem, communication and commitment problems, codependency, control issues, and career-related concerns, and supports people coping with cancer, caregiver strain, and the effects of natural or human-caused disasters.

Sarah aims to be warm, approachable, non-judgmental, and compassionate while maintaining professional boundaries. She prioritizes a relaxed therapeutic atmosphere where authenticity is encouraged and adapts her approach to match each person’s needs and preferences. Her practice is person-centered, strengths-based, and multicultural, and may draw from a range of methods including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Attachment-Based Therapy, Existential and Schema-informed techniques, Gottman work, mindfulness, narrative and play therapies, filial methods, and EMDR.

She values nature, music, creativity, and humor as supportive elements in therapeutic work and welcomes learning about each person’s interests to weave them into the process. If someone is ready to begin a new chapter, Sarah offers collaborative support aimed at fostering holistic wellbeing and growth.

Therapeutic Approaches and Online Care with Sarah Fagan

Sarah integrates Acceptance and Commitment Therapy (ACT) to help people clarify personal values and take action toward a meaningful life, even when difficult thoughts and feelings are present. This approach is often used for anxiety, stress, depression, and life transitions and emphasizes psychological flexibility rather than symptom elimination.

Attachment-Based Therapy is used to explore how early relationships shape current patterns in connections with partners, family, and caregivers. It supports people working through relational wounds, abandonment concerns, adoption and foster care issues, and challenges in forming secure bonds.

Client-Centered Therapy undergirds much of Sarah’s work by privileging the client’s perspective and fostering a collaborative, empathetic environment. This person-focused stance helps with self-esteem, identity concerns, coping with change, and building resilience.

Finding the right combination of approaches is part of the therapeutic process. Sarah collaborates with each person to identify goals, assess what methods fit best, and adjust the plan as needs and preferences evolve. That collaborative planning helps ensure treatment aligns with each person’s values and daily life.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to schedule sessions around work, family, or health demands. These options increase access to licensed professionals and allow therapy to continue during transitions, relocations, or when in-person visits are difficult.