Sarah Fagan, LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 10 years of professional counseling experience. As an LCMHC she is trained and licensed to provide clinical mental health services, and she has developed a broad practice that centers on family dynamics, parenting and guardianship concerns, relationship challenges, and boundaries. Her work frequently addresses grief, trauma including childhood and domestic abuse, fears and phobias, self-esteem and self-efficacy, depressive and anxiety disorders, autism spectrum conditions and ADHD, health-related issues, caregiving stress, military family needs, and major life transitions.

Sarah brings a warm, approachable, and non-judgmental presence to sessions while maintaining professional standards. She emphasizes honesty, compassion, and a relaxed atmosphere so clients can be authentic during the therapeutic process. Adaptability is a core strength in her practice - she prioritizes understanding each person s needs and preferences and tailors interventions accordingly. Her orientation is person-centered, strengths-based, and multicultural, and she often integrates a range of therapeutic methods such as Cognitive Behavioral Therapy, Schema Therapy, Attachment-Based Therapy, Acceptance and Commitment Therapy, Existential Therapy, the Gottman Method, Mindfulness, Narrative Therapy, play and filial approaches, and Eye Movement Desensitization and Reprocessing (EMDR).

Sarah also values the roles that nature, music, creativity, and humor can play in supporting wellbeing and may incorporate those elements when appropriate. She welcomes the opportunity to learn about clients interests and to weave those interests into sessions. If someone is ready to begin a new chapter and believes they might be a good match with her style, Sarah is available to support and empower them toward more balanced, holistic wellbeing.

Therapeutic Approaches and Online Support

Acceptance and Commitment Therapy (ACT) encourages clients to clarify their values and take meaningful action while learning to accept difficult internal experiences. It can be helpful for stress, anxiety, and life transitions when a person wants to build psychological flexibility. Attachment-Based Therapy focuses on relationships and early patterns of connection, helping people understand how attachment history shapes current interactions and supports healing from relational wounds and grief. Client-Centered Therapy emphasizes a respectful, empathic therapeutic relationship where the therapist provides acceptance and support so clients can explore their own goals and solutions.

Finding the right approach is part of the collaborative work Sarah does with each person. She will listen to a client s needs, goals, and preferences and help determine which methods or combination of methods are the best fit, adjusting the plan over time as progress unfolds.

Online therapy with Sarah is offered through video calls, phone sessions, live chat, and text-based messaging, providing flexibility for busy schedules, caregiving responsibilities, or limited local options. These options allow therapists and licensed professionals to meet clients where they are, maintain continuity of care through life changes, and make it easier to access support from home or another convenient location.