- Stress and anxiety
- Focus and ADHD
- Self-esteem work
About Sarah
Sarah Larsen-Astrones is a licensed counselor who focuses on practical, evidence-based work around stress, anxiety, self-esteem, and coping with life changes. She holds LCPC in Maryland and LIMHP in Nebraska and brings 13 years of professional experience to sessions. Her style is direct and supportive, aimed at helping people regain confidence and better manage daily challenges.
She has a background as a counseling intern site-supervisor and has taught continuing education courses at colleges and universities in multiple states. That experience gave her time supporting people who struggle with concentration, memory, and focus, including concerns related to neurodivergence. She draws on those years to make sessions efficient and down-to-earth.
In the room she focuses on clear goals and practical steps. Conversations center on building skills for managing anxiety, improving focus, and strengthening self-worth. She also helps people face life transitions, money and work stress, and feelings of isolation or shame.
Sessions aim to be a place to talk without judgment. Sarah helps each person set a pace that fits their needs and comfort level. She encourages taking small, steady steps toward clearer priorities and more reliable coping strategies.
Her practice is oriented toward work and wellbeing and toward helping people fit therapy into busy lives. To begin, a short questionnaire matches needs to scheduling and next steps are arranged according to therapist availability.
How evidence-based techniques translate to online care
Many of the evidence-based techniques Sarah uses focus on practical skills and structured work. For example, cognitive-behavioral approaches help people notice unhelpful thoughts and try different responses to reduce anxiety and improve mood. Behavioral strategies and planning help people build routines, improve focus, and manage panic symptoms through small, repeated actions.Finding the right approach is part of the process and is done together. The therapist will work with each person to choose methods that match their goals, needs, and day-to-day life. That means checking in about what’s working and adjusting tools and homework over time.
Practical benefits of online therapy often include easier scheduling and the ability to fit sessions into a workday or family routine. Online work can make it simpler to maintain continuity during busy periods and to use short check-ins when that fits better than longer trips. Because the original biography does not list specific session formats, confirm which options are currently offered before booking so you know what to expect.
Areas of expertise
Additional focus areas
Experience
13+ years
Credentials
Maryland, Nebraska
Languages
English
Frequently asked questions
What concerns does she help people with?
She helps with stress, anxiety, low self-esteem, coping with life changes, and ADHD-related focus issues. Additional areas include panic, social anxiety, and problems around attachment and communication.
What is her therapeutic approach like?
Her work emphasizes evidence-based techniques and practical skills. Sessions focus on clear goals, skill building, and steps you can use between meetings.
How much experience does she have?
She has 13 years of professional experience, including roles as a counseling intern site-supervisor and a continuing education course provider at colleges and universities.
What credentials and location describe her practice?
She holds LCPC in Maryland and LIMHP in Nebraska and practices out of Maryland.
Are sessions available in other languages or countries?
Sessions are offered in English. International clients are not currently accepted.
What session formats are used?
The original biography does not list specific session formats. Please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.