Anna Sage , LPC, LMHC

Anna Sage is a licensed counselor practicing in Washington with four years of experience in the mental health field. She holds the credentials LPC and LMHC - Licensed Professional Counselor and Licensed Mental Health Counselor - and works with adults navigating a range of emotional and behavioral challenges.

She focuses on stress, anxiety, addictions, family concerns, grief, and ADHD, and also directs attention to areas such as hoarding, hospice and end-of-life counseling, postpartum depression, and seasonal affective disorder. Her background includes work with people managing substance use alongside other mental health needs, and she aims to meet each person where they are in their journey.

Anna integrates evidence-based techniques including Motivational Interviewing, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Rational Emotive Behavior Therapy, and mindfulness into a collaborative, client-centered approach. She emphasizes the importance of being heard and understood while partnering with clients to set practical goals. Reducing stigma around treatment is central to her work, and she supports individuals through the effort it takes to make lasting changes, offering steady guidance as they pursue a more fulfilling life.

Approaches Anna Sage Uses for Online Care

Anna Sage uses client-centered therapy to place the individual's experience at the center of the work, offering empathetic listening and collaboration so clients can explore values, goals, and solutions at their own pace. This approach is helpful for people seeking support with life transitions, grief, or family concerns where feeling understood is essential.

Cognitive Behavioral Therapy, or CBT, is used to identify and shift unhelpful thinking and behavior patterns. It is practical and skills-focused, often used for anxiety, depression, ADHD symptoms, and stress management to build coping strategies and measurable progress.

Dialectical Behavior Therapy, or DBT, provides tools for emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It can be particularly useful for managing strong emotions, substance-related challenges, and relationship difficulties.

Finding the right approach is part of the process, and Anna collaborates with each person to determine which methods best match their needs, goals, and preferences. Licensed professionals and therapists can adapt techniques over time so the plan evolves with the client's progress.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options make scheduling easier and allow people to engage from home or elsewhere, helping therapy fit into busy lives while maintaining regular contact and ongoing support.