- Addictions support
- Self-esteem work
- Parts work and somatics
About Sarah
Sarah Brey is an LCPC - Licensed Clinical Professional Counselor in Nevada with four years of counseling experience. She works with adults on concerns such as addictions, trauma and abuse, eating and body image issues, self-esteem, and coping with life changes. She lists guilt and shame among her focus areas and often addresses attachment, codependency, and control issues in sessions.
Sarah uses evidence-based therapeutic techniques and describes a practical, hands-on style in session. She offers parts work and skills-based tools to help people manage strong feelings and patterns that keep them stuck. Sessions include journaling prompts, focused readings, and exercises drawn from mind-body approaches to help clients notice and change unhelpful reactions.
Her approach draws on Internal Family Systems, dialectical behavior therapy, and somatic methods. In practice this means talking through difficult memories, noticing how the body responds, and practicing specific skills for emotion regulation and boundary setting. The emphasis is on small, usable steps rather than theory alone.
Sarah has also trained in yoga and energy work and sometimes brings those perspectives into the work when it fits a client's goals. She frames interventions as tools to try and adjust, not as fixed prescriptions. She works with adult clients from varied backgrounds and highlights work with women as a focus.
For a first session she asks people to share what brought them to therapy, some background, and what they hope to work on. Scheduling begins by completing a short matching questionnaire and then booking an initial appointment.
Approaches you might use in online sessions
Internal Family Systems is a parts-based method that helps people notice inner voices and patterns, then learn to relate to those parts with less blame. It can be useful for guilt, shame, and tangled self-judgments.Dialectical Behavior Therapy focuses on practical skills for managing intense emotions and improving interpersonal effectiveness. It offers concrete tools for coping with urges, reducing impulsive behavior, and building steadier mood regulation.
Somatic techniques bring attention to body sensations and movement to shift stuck patterns. These methods can help when emotions are experienced strongly in the body and when grounding or regulation skills are needed.
Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose which techniques to try based on goals, history, and what feels useful. This is an ongoing, practical process rather than a one-size-fits-all prescription.
The website asks clients to complete a short matching questionnaire and schedule a first session. The profile does not specify which online session formats are used, so confirm current session options before booking. Online work can make it easier to fit appointments into a busy week, allow shorter focused check-ins, and remove travel time, which helps some people sustain steady work on guilt and shame.
Areas of expertise
Primary focus
Additional focus areas
Experience
4+ years
Listed in
Nevada
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with adults on addictions, trauma and abuse, eating and body image issues, self-esteem, and coping with life changes. Guilt and shame are listed among her focus areas.
How does she approach guilt and shame in sessions?
She uses parts work, skills training, and mind-body techniques to help people notice and respond differently to guilt and shame. Sessions include practical exercises such as journaling and body-based practices.
What is her clinical experience and background?
She has four years of counseling experience and additional training in yoga and energy work. She names Internal Family Systems, DBT, and somatic approaches as influences.
What credential does she hold and where is she located?
She is an LCPC - Licensed Clinical Professional Counselor in Nevada. Her practice is based in that state.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the US work with her?
She does not accept international clients at this time.
How are fees handled?
Cost varies with location and sessions are provided via a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.