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Sarah Burns

Sarah Burns, LCSW, LISW-CP

North Carolina

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LCSW counselor - Guilt and relationship issues

  • ACT
  • CBT
  • DBT skills

About Sarah

Sarah Burns is an LCSW (Licensed Clinical Social Worker) and an LISW-CP (Licensed Independent Social Worker - Clinical Practice) practicing in North Carolina with six years of experience. She works with adults who are carrying heavy feelings like guilt or shame, stress, anxiety, grief, depression, relationship strain, and questions about identity and intimacy. Her approach is practical and straightforward and aimed at helping people manage day-to-day strain.

Sarah invites people to bring their worries and to set the pace for what they want to work on. Sessions focus on clear goals and small steps that fit into a person’s life. She uses concrete skills and conversations rather than abstract promises, so people leave with things they can try between meetings.

Her approach draws on methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered Therapy. She also uses Attachment-Based ideas and skills from Dialectical Behavior Therapy when helpful. Those approaches inform how she addresses issues like abandonment, attachment concerns, codependency, and communication problems.

Sarah also works with stressors tied to caregiving, aging, military-related concerns, addiction, sleep problems, and compassion fatigue. She pays attention to how patterns from the past affect what happens now, and she helps people notice small shifts that change their daily life.

To begin, she asks people to complete a short matching questionnaire and schedule a first session. The practice uses a subscription model that can be canceled at any time, and costs vary by location.

How therapeutic approaches shape online sessions

Acceptance and Commitment Therapy (ACT) focuses on noticing painful thoughts and values-based action. It helps people carry difficult feelings like guilt while making choices that matter to them. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches practical steps to shift unhelpful patterns. That work is helpful for anxiety, panic, low mood, and sleep problems. Attachment-Based Therapy pays attention to patterns formed in relationships and helps people recognize how those patterns show up in current connections and intimacy concerns.

Finding the best approach is collaborative. The therapist will discuss what matters to the client, try methods that fit the person’s goals, and adjust plans as needed. Sessions are a place to test what helps and to make changes in manageable steps rather than large promises up front.

The biography does not list specific session formats, so confirm current options before booking. Practical benefits of remote work include easier fitting of sessions into a busy week, shorter check-ins when time is limited, and the ability to choose a calmer or quieter setting that suits the person. Licensed professionals can blend skill teaching, in-session practice, and between-session tasks so therapy fits into everyday life.

Areas of expertise

Also works with

LGBTRelationship issuesTrauma and abuseIntimacy-related issuesSleeping disordersCareer difficultiesCoping with life changes

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesCaregiver issues and stressCodependencyCommitment issuesCommunication problemsDrug and alcohol addictionEmptinessForgivenessGuilt and shameIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesPanic disorder and panic attacksPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman MethodMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

6+ years

Listed in

North Carolina, South Carolina, New Jersey, Massachusetts

Languages

English

Frequently asked questions

What kinds of concerns does she help with?

Sarah works with guilt and shame, stress, anxiety, grief, depression, relationship and intimacy issues, and related concerns such as codependency and abandonment.

How would she describe her therapy style?

She uses practical, goal-focused conversations and teaches skills people can use between sessions. Methods include ACT, CBT, client-centered work, and DBT skills when helpful.

How much experience does she have?

She has six years of clinical experience working with adults on a range of concerns from trauma and addiction to caregiver stress and aging issues.

What are her credentials and where does she practice?

She holds LCSW and LISW-CP credentials and practices in North Carolina.

Does she work in other languages or with international clients?

Sessions are offered in English. International clients are not currently accepted.

What session formats are offered?

Please confirm current session options before booking, as the biography does not list specific formats.

How does cost and billing work?

Fees vary by location and services use 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 then 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.

Sarah BurnsLCSW, LISW-CP

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