- 13 years experience
- Focus on anxiety
- Maryland licensed
About Sarah
Sarah Larsen-Astrones is a licensed counselor who draws on 13 years of clinical experience to help people manage anxiety, stress, and life transitions. She holds an LCPC in Maryland and a LIMHP in Nebraska. Sarah uses straightforward, practical methods so clients can move toward more confidence and calm.
Sarah has worked in colleges and universities and has served as a counseling intern site supervisor and continuing education course provider. That background shaped her interest in motivation, focus, and self-esteem. She also supports people dealing with concentration and memory challenges tied to neurodivergence.
In sessions she emphasizes clear communication and a nonjudgmental tone. She helps people name feelings, notice patterns, and practice skills that reduce panic and social anxiety symptoms. She also addresses relationship concerns like attachment and communication problems, and personal issues such as guilt, shame, and a search for life purpose.
Her approach is collaborative and goal-focused. Sarah works with each person to set small, realistic steps that fit their day-to-day life. She encourages problem-solving around financial stress, career shifts, and parenting or pregnancy-related concerns when those come up.
Taking the first step can feel hard, and she aims to make that step simpler. Sarah supports clients through the process of building self-love, improving emotional regulation, and increasing daily functioning. She invites people to talk through what matters most to them and to try out practical strategies in real life.
How evidence-based techniques guide online care
Many clients benefit from evidence-based therapeutic techniques that teach concrete skills for anxiety and panic. Cognitive approaches focus on spotting and testing unhelpful thoughts, then practicing alternative responses to reduce anxious thinking and panic symptoms. Exposure-based strategies involve gradual, guided practice facing feared sensations or situations to build tolerance and lessen avoidance over time.Finding the right approach is part of the work. The therapist will collaborate with each person to choose or adapt methods based on goals, day-to-day needs, and what feels manageable. That collaborative process means techniques can be adjusted as progress is made.
Specific session formats were not listed in the biography, so confirm current options before booking. In general, online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow for faster check-ins during life transitions. It also lets people practice skills between sessions in their usual environments and then talk about what worked or didn’t with their therapist. Licensed professionals can help tailor session length and frequency to match work, family, and treatment goals.
Areas of expertise
Primary focus
Additional focus areas
Experience
13+ years
Listed in
Maryland, Nebraska
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She helps people with stress, anxiety, panic disorder and panic attacks, self-esteem, and coping with life changes, plus related issues like social anxiety and attachment concerns.
What is her general therapy style?
Her style is collaborative and practical; she focuses on clear communication, skill-building, and small steps that fit into daily life.
What experience does she bring to sessions?
She has 13 years of professional experience and has been a counseling intern site supervisor and a continuing education course provider at colleges and universities.
What credentials and location apply to her practice?
She holds an LCPC in Maryland and a LIMHP in Nebraska and practices from Maryland.
Which languages are supported and are international clients accepted?
Sessions are offered in English and she is not currently accepting international clients.
What session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How does cost and payment work?
Cost varies with location and availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.