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- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Mindfulness Therapy
About Sabrina
Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 20 years of experience, Sabrina Howell focuses on stress, anxiety, relationships, family concerns, trauma and abuse, depression, grief, parenting, self-esteem, bipolar disorder, coping with life changes, and ADHD. She works with adults and offers support for young adult issues and several related areas such as attachment, abandonment, and adoption and foster care. Sessions are conducted in English and she accepts international clients.
Sabrina frames therapy as a collaborative relationship. Clients set their own goals and she accompanies them while offering clinical guidance. She uses client-centered methods alongside cognitive-behavioral tools to address thoughts and behaviors that get in the way of daily functioning. She also draws on mindfulness techniques to help manage anxiety and on trauma-focused approaches when past events are central to current struggles.
In practical terms she looks at how problems affect different parts of life - body, mind, relationships, work, and day-to-day routines. Sessions involve talking through current difficulties, identifying patterns, and trying specific strategies to interrupt unhelpful cycles. For trauma work she uses trauma-focused methods appropriate to the presenting needs.
Sabrina notes that therapy is voluntary and that referrals to other professionals will be made if ethically indicated. She aims to review after the first session whether to continue together. She responds to messages typically once per day Monday through Saturday, usually after 5:00 p.m. Eastern Standard Time.
Her background includes extensive clinical practice with mood disorders, personality concerns, self-harm, impulsivity, intellectual disability, and veteran and armed forces issues. She helps people who feel stuck by combining practical skill-building with reflective work to clarify goals and next steps.
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How her approaches translate to online sessions
Client-Centered Therapy focuses on the client’s goals and perspective. Online sessions using this approach center on listening, clarifying goals, and helping the client guide the pace and topics of work. Cognitive Behavioral Therapy (CBT) targets patterns of thinking and behavior. In remote appointments CBT typically involves identifying unhelpful thoughts, trying new behavioral experiments between sessions, and reviewing results together. Mindfulness Therapy teaches present-moment awareness and emotion regulation skills. Through guided exercises and practice tasks, the client learns tools to reduce anxiety and respond differently to distress.Choosing the right approach is part of the work. The therapist will collaborate with the client to decide which methods to emphasize based on symptoms, goals, and preferences. That plan can shift as progress is made or new needs appear.
The biography does not list which session formats are offered, so confirm current options before booking. Online work can make it easier to fit therapy into a busy life by removing travel time and allowing sessions during breaks or after work hours. It can also support shorter check-ins when time is limited and allow practices like homework review and mindfulness exercises to be integrated into daily routines.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
North Carolina
Languages
English
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Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, relationship issues, family concerns, trauma and abuse, depression, grief, parenting, self-esteem, bipolar disorder, coping with life changes, and ADHD, plus related areas such as attachment and adoption and foster care.
What therapeutic approaches does she use?
Her practice draws on Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Trauma-Focused Therapy. She blends these to match the client’s goals and situation.
How much clinical experience does she have?
She has 20 years of experience working in clinical settings and private practice with a range of mood, trauma, and behavioral concerns.
What are her credentials and location?
She is an LCMHC licensed in North Carolina. Her practice is based in North Carolina.
Which languages are supported and can international clients connect?
Sessions are offered in English and she accepts international clients.
What session formats are used?
The original biography does not list specific session formats. Please confirm current session options before booking.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing will depend on the chosen subscription and location.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin the intake process.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.