- Stress and anxiety
- Focus and attention
- Men's wellbeing
About Sarah
Sarah Larsen-Astrones is a licensed counselor practicing with 13 years of experience. She holds LCPC (Licensed Clinical Professional Counselor) in Maryland and LIMHP (Licensed Independent Mental Health Practitioner) in Nebraska. Sarah focuses on practical support for stress, anxiety, self-esteem, and adapting to life changes, including concerns related to attention and focus.
She draws on evidence-based therapeutic techniques to help people identify patterns that get in the way of feeling steady and capable. Sessions tend to center on clear goals, manageable steps, and skills you can use between meetings. People often come for help with panic, social anxiety, or the overwhelm that accompanies big life shifts.
Sarah also addresses deeper relational themes that affect daily life, such as attachment wounds, abandonment, guilt and shame, and communication struggles. She works with issues around money stress, midlife questions, and questions men commonly bring about wellbeing. The approach is practical and down-to-earth rather than abstract.
Her background includes supervising counseling interns and teaching continuing education courses at colleges and universities across several states. That experience informs a teaching style in sessions that breaks ideas into usable steps. She helps people strengthen focus, memory, and everyday routines when concentration is a concern.
To begin, clients use the site’s Start Therapy flow to match and schedule. Sarah supports clients who want steady, practical progress toward clearer thinking and better coping.
How evidence-based techniques translate to online care
Many clients find that structured, evidence-based methods translate well to a remote setting. Cognitive-style approaches focus on spotting unhelpful thinking patterns and practicing alternative responses; they are useful for anxiety, panic, and stress. Behavioral techniques concentrate on small, repeatable actions that build routines and improve focus, which can help with ADHD-related concentration and motivation.Choosing the right approach is a shared process. The therapist will discuss your concerns, goals, and personal preferences, then try methods that fit your needs. Over time, adjustments can be made based on what helps you make steady progress.
Session logistics should be confirmed before booking since the original biography does not list specific formats. Confirm current session options when you start the matching process. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow for shorter check-ins when schedules demand it. It can also support working on focus, routines, and practical coping strategies from wherever you are, while keeping the work collaborative and goal oriented.
Areas of expertise
Additional focus areas
Experience
13+ years
Credentials
Maryland, Nebraska
Languages
English
Frequently asked questions
What kinds of concerns does Sarah help with?
She works with stress, anxiety, self-esteem, coping with life changes, and ADHD-related concentration issues. Additional areas include panic attacks, social anxiety, and struggles with guilt or shame.
What is her therapy style like?
Her approach uses practical, evidence-based techniques focused on clear goals and steps. Sessions emphasize skill-building and strategies you can use between meetings.
How much experience does she bring?
She has 13 years of professional experience, including supervising counseling interns and teaching continuing education at colleges and universities.
What credentials and location are listed?
She holds LCPC in Maryland and LIMHP in Nebraska and is based in Maryland.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How much do sessions cost?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin a therapy match and schedule?
Select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.