Sabrina Howell, LCMHC

Sabrina Howell is a licensed clinical mental health counselor with two decades of experience offering compassionate, collaborative therapy. She views the counseling relationship as a partnership in which the client directs their goals and she provides guidance and support along the way. Her practice emphasizes a holistic perspective, exploring how thoughts, emotions, body sensations, spirit, relationships, and work all interact to shape well-being.

She draws on cognitive behavioral methods and solution-focused ideas to help clients identify unhelpful patterns and build practical skills for change. She is also trained in trauma-focused cognitive behavioral therapy (TF-CBT) and works with children and families affected by trauma. Sabrina works with adults individually and with couples, helping clients examine the life moments where they feel stuck and addressing symptoms such as panic, anxiety, and depression.

Entering counseling with Sabrina is voluntary and clients may end the relationship at any time. If ethical considerations indicate a referral is appropriate, she will provide names of other professionals to contact. While specific outcomes cannot be guaranteed, she and the client will collaborate to pursue meaningful progress and will decide after the first session whether to continue a counseling relationship. She typically responds to messages once per day, Monday - Saturday, generally after 5:00 p.m. EST. Sabrina holds the credential LCMHC, which stands for Licensed Clinical Mental Health Counselor.

Therapeutic Approaches for Online Care

Client-Centered Therapy focuses on creating a collaborative environment where the client sets goals and the therapist offers empathic support and reflection. This approach helps people explore their values, clarify priorities, and build confidence to make changes.

Cognitive Behavioral Therapy (CBT) helps clients identify and reframe unhelpful thought patterns and develop practical skills for managing anxiety, depression, and stress. CBT emphasizes concrete strategies and measurable progress that translate well to remote sessions.

Trauma-Focused Therapy, including trauma-focused cognitive behavioral techniques, addresses the impact of traumatic events by helping clients process memories, reduce distressing symptoms, and develop safer coping strategies. This approach can be adapted for both children and adults and is used when trauma is a central concern.

Finding the right approach is part of the therapeutic process. Sabrina works collaboratively with clients to determine which methods best match their needs, goals, and preferences, and she adjusts the plan as progress unfolds.

Online therapy offers practical flexibility - sessions can take place by video call, phone, live chat, or text-based messaging to accommodate different schedules and comfort levels. These options make it easier to maintain continuity of care and access licensed professionals from various locations while tailoring the format to what works best for each client.