- Warm and direct
- Goal focused
- Evidence informed
About Sarena
Sarena Mestas is a licensed professional counselor (LPC) based in Oregon who helps people facing stress, anxiety, mood concerns, and relationship strain. She often supports those coping with depression, bipolar disorder, low self-esteem, and panic disorder and panic attacks. Her tone is direct and encouraging, aimed at someone taking a hard first step toward help.
Sarena works in a respectful and compassionate way. She listens first and adapts sessions to the person in front of her. That means talking through what matters most to you and building short practical steps you can try between meetings.
Her approach blends several practical methods. Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thinking and change behavior. Dialectical Behavior Therapy (DBT) and mindfulness tools help with emotional regulation and staying present. Motivational Interviewing can help when motivation feels stuck.
In sessions she focuses on clear, manageable goals like reducing panic symptoms, improving sleep, easing social anxiety, and repairing communication patterns. She also offers work on body image, forgiveness, impulsivity, and workplace stress when those issues are part of the struggle.
With 12 years of experience as an LPC, Sarena aims to meet each person where they are. She adapts language and pace so conversations feel understandable and hopeful rather than overwhelming.
How these approaches work in online care
Client-Centered Therapy focuses on listening, empathy, and following the client’s lead to build trust and clarify goals. It helps people feel heard and decide what change they want. Cognitive Behavioral Therapy, or CBT, looks at thought patterns and behaviors and teaches simple experiments to test new ways of thinking and acting. CBT is often used for anxiety, panic, and low mood.Finding the right approach is part of the work. The therapist will talk with each person about their goals, try methods that fit, and adjust plans together. This collaborative process helps match techniques like CBT or client-centered listening to the client’s needs and preferences.
The original profile does not list specific session formats, so please confirm available options before booking. Online therapy can make it easier to fit sessions into a busy life by removing travel time and allowing appointments from different locations. It can also allow shorter check-ins when needed, reduce time away from work, and let people use strategies learned in sessions in the places they live and work. Licensed professionals can adapt exercises, homework, and pacing for remote sessions so progress continues across appointments.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
12+ years
Listed in
Oregon
Languages
English
Frequently asked questions
What concerns does this therapist commonly address?
She commonly helps people with stress, anxiety, depression, bipolar disorder, panic disorder and panic attacks, relationship strain, and self-esteem problems.
How does she approach therapy in sessions?
The approach is collaborative and practical. Sessions focus on listening, setting clear goals, and trying manageable strategies between meetings.
What is her professional background?
She has 12 years of clinical experience working with people on mood, anxiety, and relationship issues.
What credential does she hold and where is she located?
She is an LPC which stands for Licensed Professional Counselor and is based in Oregon.
Which languages are supported for sessions?
Sessions are offered in English and international clients are accepted.
What session formats are available?
The original biography does not specify session formats, so confirm current session options before scheduling.
How are fees and payment handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.