About Sarah
Sarah Larsen-Astrones is a licensed clinician with 13 years of experience helping people manage stress, anxiety, low self-esteem, and major life changes. She holds an MD and is a Licensed Clinical Professional Counselor (LCPC) and a Licensed Independent Mental Health Practitioner (LIMHP). Sarah speaks plainly and works to make the first steps toward change feel doable.
She focuses on practical ways to improve concentration, memory, and focus, and offers support for people who identify with neurodivergent experiences such as ADHD.
Background and approach
In sessions she helps clients notice patterns that get in the way and practice small changes that build over time. Sarah has taught counseling at colleges and universities and has supervised counseling interns. That teaching background informs how she explains ideas and offers tools in simple terms.
Her clinical work has included common concerns like panic and social anxiety as well as issues tied to relationships, shame, and life purpose. Therapy with Sarah often centers on clear, doable steps - building routines, clarifying values, and improving communication habits. She emphasizes an environment where people can share thoughts and feelings without judgment and work toward realistic goals.
To start, she asks about what currently feels most pressing and what a better day would look like. From there she and the client shape a plan that fits the client’s goals, schedule, and preferred ways of working.
Evidence-based techniques and flexible online care
Sarah uses evidence-based therapeutic techniques that focus on what helps day to day. One approach emphasizes practical skill-building for attention and focus, teaching routines and strategies to support concentration and memory in everyday life. Another approach centers on anxiety management, offering simple tools for coping with panic, social anxiety, and chronic worry so people can respond differently to triggers.Choosing the right approach is a collaborative process. The therapist will work with each person to identify goals, try techniques, and adjust plans when something isn’t working. That way the methods chosen match the client's needs, preferences, and pace.
Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video sessions allow face-to-face conversation and visual cues, phone sessions can be useful when bandwidth is limited, live chat supports quick check-ins, and messaging lets people reflect between sessions. These options make it easier to fit care into work, family, or school schedules while keeping therapy practical and focused.
Questions people ask
What kinds of concerns does Sarah address?
How would you describe her therapeutic style?
What is her professional background?
What credentials and location are on file?
Which languages are supported in sessions?
What session formats are available?
How is cost handled for sessions?
What are the steps to begin working together?
What this therapist works with
Also listed
- Abandonment
- ADHD
- Attachment issues
- Communication problems
- Control issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Panic disorder and panic attacks
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Experience
- 13 years
- Licensed
- Maryland, Nebraska
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.