- Stress and anxiety
- CBT and EFT
- Mindfulness skills
About Sarah
Sarah Cook is a Licensed Professional Counselor (LPC) practicing in Texas with 20 years of experience. She works with adults who are carrying guilt or shame alongside stress, anxiety, depression, relationship and family concerns, and self-esteem struggles. She also supports people dealing with trauma and abuse, grief, intimacy-related worries, sleep problems, parenting strains, career stress, bipolar challenges, ADHD, and compassion fatigue.
Sarah uses straightforward, person-focused work. She treats the person as the expert on their life and looks for strengths to build on. Sessions usually involve clear goals, practical steps, and space to name difficult feelings tied to guilt, shame, or past choices.
Her approach draws on methods that help people change unhelpful patterns and notice what keeps painful feelings alive. She uses Client-Centered techniques to follow a client’s lead, Cognitive Behavioral Therapy to spot and shift thinking and behavior, and Emotionally-Focused ideas to look at how emotions shape relationships.
She also brings in mindfulness skills to steady attention and Solution-Focused tools when a shorter-term focus is useful. In practice this can mean learning new ways to respond to triggers, rehearsing different conversations, or trying small experiments between sessions.
Sarah has an interest in women's reproductive mental health, including PMS, PMDD, and postpartum concerns. People who choose her often want clear steps and realistic tools to carry through daily life while they work through painful guilt or shame.
How Sarah integrates approaches for online sessions
Client-Centered Therapy focuses on listening and following the client’s lead. It helps people clarify their own values and decide what matters most when guilt or shame feels overwhelming. Cognitive Behavioral Therapy (CBT) looks at the thoughts and behaviors that keep distress going. It offers practical steps to test beliefs, shift patterns, and reduce repeated rumination or avoidance.Choosing the right approach is a collaborative process. The therapist will work with the client to identify which methods feel most useful and adjust the plan as goals change. That means trying exercises together, reviewing what helps, and changing course if something isn’t working.
Session formats are not detailed in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It also lets clients practice new skills between sessions in real-life settings and bring those experiences back to talk through with the therapist.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, relationship and family concerns, self-esteem issues, trauma and abuse, grief, intimacy worries, sleep problems, parenting and career stress, bipolar disorder, ADHD, and compassion fatigue.
How does she approach guilt and shame in sessions?
She uses practical, person-centered techniques that help name and work through painful feelings. Sessions mix talking, behavior work, and small experiments to change unhelpful patterns.
What is her background and experience?
She has 20 years of professional experience and has focused work with issues like relationship conflict, women's reproductive mental health, and mood concerns.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and sees clients from that location.
Does she work in other languages or with international clients?
Sessions are offered in English. International clients are not currently accepted.
What session formats does she offer?
Please confirm current session options before booking, as formats are not specified in the profile.
How much do sessions cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I get started with her?
Select 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.