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- Stress and anxiety
- ADHD related concerns
- Self esteem work
About Sarah
Licensed Clinical Professional Counselor (LCPC) and Licensed Independent Mental Health Practitioner (LIMHP) with 13 years of experience, based in Maryland. Sarah Larsen-Astrones focuses on stress, anxiety, self-esteem, coping with life changes, and ADHD-related concerns. She also addresses attachment and abandonment issues, communication and control problems, guilt and shame, isolation, and related concerns listed in her practice description.
Sarah helps people talk through immediate stress and anxiety. She supports work on motivation, confidence, concentration, memory, and focus. She frames these challenges as practical problems to be worked on together rather than as labels alone.
Her background includes supervising counseling interns and providing continuing education courses at colleges and universities across multiple states. That experience informs how she explains options and next steps so people know what to expect from sessions.
In sessions she aims to create an environment where thoughts and feelings can be shared without judgment. She uses evidence-based therapeutic techniques to address specific problems such as panic attacks, social anxiety, and difficulties with life transitions. Conversations are paced to match each person's needs and capacity for change.
Clients can expect collaborative planning that focuses on clear goals and small, manageable steps. Practical skills for coping, improving focus, and handling relationship or communication strain are included when helpful. The emphasis is on everyday strategies a person can use between sessions.
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How evidence-based methods translate to online care
Evidence-based therapeutic techniques focus on clear skills and strategies that people can practice between sessions. One common approach emphasizes learning specific coping skills for anxiety and panic, such as short breathing or grounding exercises and step-by-step exposure to feared situations. Another approach concentrates on attention and executive strategies for people with concentration or ADHD-related challenges, using organizational routines, brief behavioral experiments, and memory aids to improve daily functioning.Finding the right approach is part of the work together. The therapist will review concerns, goals, and preferences and suggest techniques to try. Treatment is adjusted based on what helps most, with the client involved in choosing and testing methods.
Confirm the current session formats before booking. Online work can make it easier to fit therapy into a busy schedule and reduce travel time. Remote sessions are useful for shorter check-ins, practicing skills between commitments, or keeping therapy consistent while managing work or family demands. Ask about format options when scheduling so sessions match practical needs.
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Areas of expertise
Additional focus areas
Experience
13+ years
Listed in
Maryland, Nebraska
Languages
English
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Frequently asked questions
What problems does she commonly address?
She works with stress, anxiety, self-esteem, coping with life changes, and ADHD-related concerns. Additional areas include attachment, abandonment, guilt and shame, and social anxiety.
What is her therapeutic style?
She uses evidence-based therapeutic techniques and focuses on practical skills and goal-oriented planning. Sessions are collaborative and paced to match the client's needs.
How much experience does she bring?
She has 13 years of professional experience and has supervised counseling interns and taught continuing education courses at colleges and universities.
What are her credentials and where is she based?
She holds LCPC and LIMHP credentials and practices from Maryland.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with her?
She does not accept international clients at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin the process?
Select the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.