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Sarah Fagan, LCMHC

Therapist in North Carolina

Compassionate counselor for life transitions

Continue with Sarah

Review online therapy options on BetterHelp.

Sarah Fagan

Profile checklist

  • CredentialsLCMHC
  • License listedLCMHC, North Carolina (no. 11797)
  • NPI number1932573359
  • Experience10 years listed
  • LanguageEnglish
  • Main areas of focusStress, Anxiety, Trauma and abuse, Grief, Parenting issues
  • Approaches includeAcceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT)
  • FormatOnline sessions through BetterHelp

Details as listed on the therapist’s BetterHelp profile.

  • Addictions and recovery support
  • Person-centered approach
  • Practical coping skills

About Sarah

Sarah Fagan is a Licensed Clinical Mental Health Counselor practicing in North Carolina with about ten years of counseling experience. She helps people facing stress, anxiety, grief, addictions, relationship problems, parenting challenges, and major life changes. Her style is warm and down-to-earth, and she aims to make sessions feel relaxed and approachable.

She spends time getting to know each person's needs and preferences before tailoring an approach. Sessions focus on practical steps people can try between meetings, building strengths, and improving day-to-day coping. Sarah mixes talking, skill practice, and creative tools such as music or nature when helpful.

Sarah often draws on cognitive behavioral ideas to spot unhelpful thinking and build different habits. She also uses attachment-based work to address relationship patterns and Acceptance and Commitment Therapy to clarify values and take meaningful action. These methods are applied in a person-centered, strengths-focused way.

Her background includes supporting people through trauma, childhood and domestic abuse, developmental differences such as autism spectrum concerns and ADHD, caregiving stress, chronic illness, and the strains of healthcare and military life. She also works with concerns like self-esteem, anger, grief, and bipolar and depressive symptoms.

Sarah values honesty, respect, and cultural awareness in therapy. She adapts her approach as needed and invites clients to bring their interests into sessions. To begin, clients follow the site's matching steps and schedule sessions based on the therapist's availability.

How her approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most and take small steps toward those values. It is useful for anxiety, low mood, and making life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress and improve daily functioning. Attachment-Based Therapy looks at how early and current relationship patterns shape feelings and reactions, helping people build more secure ways of relating.

Finding the right approach is part of the work. Sarah collaborates with each person to choose methods that match their goals and preferences. She adjusts techniques along the way so the plan fits how someone likes to learn and practice new skills.

If you are considering online sessions, confirm the current session options before booking. Online work can make it easier to fit therapy into busy days, allow shorter check-ins when needed, and reduce travel time. Some people find remote meetings help them practice skills in their regular routines, while others prefer in-person settings; Sarah will help decide what suits your situation and schedule.

Areas of expertise

Also works with

AddictionsRelationship issuesFamily conflictsAnger managementSelf esteemCareer difficultiesBipolar disorderDepressionCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodMindfulness TherapyNarrative TherapyTrauma-Focused Therapy

Experience

10+ years

Credentials

North Carolina

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, grief, addictions, relationship and family concerns, parenting issues, anger, self-esteem, career transitions, bipolar and depressive symptoms, and related challenges.

What is her general approach in sessions?

She uses a person-centered, strengths-based style that mixes talk therapy with skill practice and creative tools. Therapy focuses on practical steps and building coping strategies between sessions.

How much clinical experience does she have?

She has about ten years of professional counseling experience working with a wide range of concerns and life situations.

What are her credentials and location?

She is a Licensed Clinical Mental Health Counselor - LCMHC - practicing in North Carolina.

Which languages are supported for sessions?

Sessions are offered in English.

Does she work with clients outside the United States?

International clients are not currently accepted.

How are costs and billing handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin therapy with her?

Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Sarah FaganContinue with Sarah