Sarah Spurling, LCSW

Sarah Spurling is a Licensed Clinical Social Worker (LCSW) who works with adults navigating anxiety, depression, trauma, grief, and major life transitions. She often supports autistic adults and people exploring a later-in-life diagnosis, bringing an understanding of neurodivergence to her clinical work. Her practice also focuses on concerns such as self-esteem, attachment and abandonment issues, caregiver stress, chronic illness and pain, body image, and gender dysphoria.

Sarah’s therapeutic approach is relational and client-centered, emphasizing a supportive partnership rather than a push to change before someone is ready. She aims to create a space where individuals can be themselves without masking, over-explaining, or feeling pressured to have all the answers. That stance informs both individual therapy and facilitated autism support groups she leads.

In sessions Sarah helps people deepen self-understanding and build practical coping tools that fit everyday life. Her methods draw from evidence-informed approaches to help clients feel more grounded, connected, and capable of meeting present challenges. Beginning therapy is a meaningful step, and Sarah offers steady guidance as people take that step and move toward greater resilience and clarity.

Approach-based online therapy tailored to adults

Sarah integrates Acceptance and Commitment Therapy (ACT) to help people clarify personal values and practice present-focused acceptance of difficult thoughts and feelings - an approach useful for anxiety, avoidance, and navigating life changes. She uses Client-Centered Therapy to build a supportive, nonjudgmental relationship where individuals are heard and understood; this approach is helpful for improving self-esteem, processing grief, and exploring identity. Cognitive Behavioral Therapy (CBT) is employed to identify and shift unhelpful thought patterns and develop practical coping strategies, which can be effective for symptoms of anxiety, depression, and stress.

Finding the right approach is part of the therapeutic work. Sarah partners with each person to assess needs, goals, and preferences, and she adjusts methods collaboratively so the treatment fits the individual rather than expecting the individual to fit the method.

Online therapy with Sarah is offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and communication styles. These options make it easier to maintain continuity of care during life transitions, manage day-to-day demands, and access support from a licensed professional when it is most needed.