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Stephanie Sarafinas

Stephanie Sarafinas, LPC

Pennsylvania

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Licensed Professional Counselor - Guilt and shame, anxiety

  • LPC Pennsylvania
  • Cognitive behavioral tools
  • Mindfulness and DBT skills

About Stephanie

Stephanie Sarafinas is a Licensed Professional Counselor (LPC) in Pennsylvania with 25 years of experience. She works with adults facing stress, anxiety, depression, career shifts, parenting pressures, and concerns tied to identity and relationships, including guilt and shame.

She uses straight talk and practical steps in sessions. Conversations focus on what feels stuck and what can change next. She draws on tools from cognitive behavioral work, dialectical behavior strategies, mindfulness, motivational interviewing, and solution-focused methods.

Sessions often start by clarifying immediate goals and small steps that fit daily life. Stephanie helps people notice unhelpful thinking patterns and test different ways of coping. She also addresses physical and relational effects of chronic pain, caregiver strain, and sleep disruption.

Her work includes support around trauma, grief, codependency, and issues related to autism spectrum experiences. She also helps with communication problems, commitment worries, and feelings of emptiness or isolation.

Stephanie describes the therapeutic relationship as collaborative. She partners with clients to set goals, track progress, and adjust strategies over time. Practical skills, short-term plans, and ongoing reflection are all part of her approach.

How her approaches translate to online sessions

Clients will see elements of cognitive behavioral therapy and mindfulness work in online sessions. CBT focuses on identifying the thoughts and behaviors that keep someone stuck and then testing small changes. Mindfulness therapy teaches short practices to notice sensations and thoughts so emotions feel less overwhelming.

She also uses aspects of dialectical behavior therapy, which offers concrete skills for managing strong emotions and improving interpersonal effectiveness. Those skills can be practiced in session and then applied between meetings to handle difficult moments more calmly.

Deciding which approach fits best is a collaborative process. The therapist will discuss goals, preferences, and what has or hasn’t worked before. Together they will try strategies, track what helps, and adjust the plan as needed.

Session format details are not specified in the biography, so confirm the current online options before booking. In general, online work can make it easier to fit meetings into a busy week, allow shorter check-ins when schedules are tight, and reduce travel time. Mention any practical needs or limits when scheduling so sessions can be organized to fit everyday life.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsTrauma and abuseGriefSleeping disordersParenting issuesAnger managementCoachingCompassion fatigueADHD

Additional focus areas

Autism and Asperger SyndromeCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)EmptinessFamily problemsGuilt and shameIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersPanic disorder and panic attacksPostpartum depressionPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSocial anxiety and phobiaTraumatic brain injuryVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic Therapy

Experience

25+ years

Listed in

Pennsylvania

Languages

English

Frequently asked questions

What kinds of concerns does she work with?

She works with stress, anxiety, depression, career and parenting issues, relationship and family struggles, trauma and abuse, grief, and guilt and shame.

How does she approach feelings of guilt or shame?

She uses practical techniques to identify unhelpful thoughts and gentle behavioral experiments to test new ways of thinking and acting.

What is her background and experience?

She has 25 years of clinical experience supporting adults through life transitions, mood concerns, trauma, chronic health challenges, and caregiving stress.

What are her credentials and where does she practice?

She holds the LPC credential and practices in Pennsylvania as a Licensed Professional Counselor.

Does she work in languages other than English?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

What session formats are available?

Please confirm current session options before booking, as specific formats are not listed in the profile.

How does payment and getting started work?

Cost varies by location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete the 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.

Stephanie SarafinasLPC

Continue with Stephanie