Sarah Fagan , LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with ten years of professional counseling experience. As an LCMHC she is licensed to provide clinical mental health counseling in North Carolina - license number NC LCMHC 11797 - and has built a broad practice supporting people through a range of life challenges.

She specializes in family and relationship concerns, parenting and guardianship issues, grief, trauma including childhood and domestic abuse, anxiety and depressive disorders, ADHD and autism spectrum concerns, health and caregiver stress, military family transitions, and major life changes. Her work also addresses stress, addictions, anger, self-esteem, career difficulties, bipolar disorder, compassion fatigue, and a range of attachment and communication problems.

Sarah aims to be warm, approachable, non-judgmental, respectful, honest, and compassionate while maintaining professional boundaries. She fosters a relaxed session atmosphere where clients can bring their whole selves, and she adapts her methods to match each personâs needs and preferences. Her practice is person-centered, strengths-based, and multicultural, and she often integrates techniques from Cognitive Behavioral Therapy, Schema approaches, Attachment-Based Therapy, Acceptance and Commitment Therapy, Existential Therapy, the Gottman Method, mindfulness and narrative approaches, play and filial work, and EMDR when appropriate.

Nature, music, creativity, and humor are elements she may bring into sessions to support healing and growth. If someone feels ready to begin a new chapter, Sarah welcomes the opportunity to support and empower them toward greater wellbeing and resilience.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and build psychological flexibility. ACT uses mindfulness and values-driven actions to help with anxiety, depression, stress, and struggles with motivation and avoidance.

Attachment-Based Therapy focuses on patterns in relationships that began in early life and how those patterns affect current connections. It can be helpful for people coping with abandonment, adoption and foster care issues, attachment struggles, and relational difficulties.

Client-Centered Therapy places the person at the center of the work, emphasizing empathy, unconditional positive regard, and pacing that respects the client’s own goals. This approach supports self-exploration, self-esteem building, and recovery from trauma or life transitions.

Finding the right approach is part of the therapeutic process, and Sarah Fagan will collaborate with each person to determine which methods fit their needs, goals, and preferences. Together they will adapt strategies and tools over time to reflect progress and changing priorities.

Online therapy with Sarah can occur via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, caregiving responsibilities, or geographic constraints. These options make it easier to maintain continuity of care and access support when life gets complicated, while allowing therapists and licensed professionals to tailor sessions to the client’s preferred format.