- ADHD focus
- Guilt and shame
- Self-esteem work
About Sarah
Sarah Larsen-Astrones is a Licensed Clinical Professional Counselor (LCPC) in Maryland and a Licensed Independent Mental Health Practitioner (LIMHP) in Nebraska with 13 years of professional experience. She works with adults facing stress, anxiety, low self-esteem, and life transitions. Her areas also include ADHD-related focus and concerns like guilt and shame.
She has served as a counseling intern site supervisor and has taught continuing education courses at colleges and universities across multiple states. That background informs how she explains concepts and structures sessions. She uses evidence-based therapeutic techniques to help people sharpen focus, manage worry, and rebuild confidence.
In sessions she helps people name what they feel and where those feelings come from. Conversations often include practical strategies for coping, ways to improve concentration, and steps to address self-criticism and regret. She pays attention to how attachment and past losses affect present behavior.
People often bring issues around control, communication breakdowns, isolation, or financial stress. Sarah discusses these concretely and helps clients try small, specific changes that can be practiced between sessions. She also works with concerns tied to pregnancy, midlife transitions, and panic symptoms.
Her approach reflects years of clinical work and teaching. She encourages straightforward discussion about shame and guilt, and looks at how those feelings influence choices. Before booking, readers should confirm current session formats and scheduling details.
How evidence-based approaches translate to online work
Sarah uses evidence-based therapeutic techniques to address worry and low self-esteem. Cognitive-style work helps people identify unhelpful thoughts and test them against real situations; this is useful for anxiety, panic, and self-criticism. Practical skills training focuses on attention, organization, and coping strategies tailored for people with concentration or ADHD-related struggles.Finding the right approach is part of the work. She and the client figure out which techniques fit current problems, goals, and preferences. Sessions are collaborative, with the therapist suggesting steps and the client trying them between appointments to see what helps most.
Session formats are not specified in the biography, so confirm current online options before booking. Online therapy can make it easier to fit sessions into a busy week, shorten travel time, and allow for quicker check-ins during transitional periods. It also lets people work on focus and anxiety skills in their everyday routines while keeping the practical structure of scheduled appointments.
Areas of expertise
Additional focus areas
Experience
13+ years
Listed in
Maryland, Nebraska
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, self-esteem, coping with life changes, and ADHD. Additional areas include guilt and shame, attachment issues, panic, and loneliness.
How would she approach feelings of shame or guilt?
She uses evidence-based therapeutic techniques to help people understand where those feelings come from and to practice concrete changes. Sessions involve naming emotions and trying practical coping strategies.
What is her clinical background?
She has 13 years of professional experience and has been a counseling intern site supervisor and CE course provider at colleges and universities.
Where is she licensed and based?
She holds LCPC in Maryland and LIMHP in Nebraska, and is based in Maryland.
Does she offer sessions in other languages?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are session costs handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin?
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.