Sarah Larsen-Astrones, MD, LCPC, LIMHP

Sarah Larsen-Astrones is a licensed clinician with thirteen years of professional experience who supports individuals navigating stress, anxiety, life transitions, and challenges with self-esteem and motivation. She has served as a counseling intern site-supervisor and as a continuing education course provider, teaching at colleges and universities across multiple states. Her practice also includes work with concentration, memory, and focus concerns common to neurodivergence, helping clients develop practical strategies to manage attention and everyday functioning.

Licensed to practice in both Maryland and Nebraska, Sarah holds the credentials MD, LCPC, and LIMHP. The LCPC credential denotes a Licensed Clinical Professional Counselor and the LIMHP indicates a Licensed Independent Mental Health Practitioner, showing training and authorization to provide clinical care in those jurisdictions. She collaborates with clients to build an open, nonjudgmental space where thoughts and feelings can be explored, and she emphasizes compassionate support as people take the often-difficult first step toward a more satisfying life.

Sarah approaches each person as an individual, tailoring work to concerns such as anxiety, coping with change, ADHD-related focus issues, and relationship or attachment struggles. She frames therapy as a partnership, offering guidance and practical tools to increase confidence, improve communication, and foster greater wellbeing over time.

Evidence-Based Approaches and Online Care

Sarah uses evidence-based therapeutic techniques that emphasize practical skills and collaborative problem solving. One common focus is cognitive strategies that help identify and reframe unhelpful thinking patterns, which can reduce anxiety and improve confidence in daily situations. Another area of work centers on skill-based interventions for attention and executive function, offering structured tools and routines to support concentration, memory, and task management for people with neurodivergent profiles. She may also incorporate behavioral activation and coping skills to address stress and low motivation, helping clients build small, achievable habits that improve mood and functioning over time.

Choosing the right approach is part of the therapeutic process, and Sarah works together with each person to determine what methods best match their needs, goals, and preferences. That collaborative orientation means therapy is adjusted as progress unfolds and priorities change.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - make it easier to fit therapy into a busy life and to access care from different locations within the clinician's practice area. These formats provide flexibility for scheduling, allow ongoing work between sessions, and support consistent access to licensed professionals and therapists who can guide treatment and skill development.