About Sara
Sara Nielsen is a licensed counselor with almost two decades of clinical experience. She holds NH LCMHC and KS LCPC credentials and practices in Alabama. She focuses on helping people manage everyday struggles and deeper challenges with a calm, steady approach.
Sara keeps sessions collaborative and straightforward. She asks questions, listens closely, and helps people make practical changes they can try between sessions. The work is guided by each person's goals and pace rather than a fixed script.
Background and approach
Her practice addresses many concerns, including anxiety, depression, trauma and abuse, eating and food-related issues, addictions, grief, relationship and intimacy difficulties, and ADHD. She also supports people dealing with body image, codependency, communication problems, divorce and separation, and work-related stress like compassion fatigue. Sara draws on acceptance and commitment therapy, cognitive behavioral methods, dialectical behavior therapy, mindfulness, and client-centered approaches.
She tailors techniques to what a person needs and prefers, mixing tools for thought patterns, emotional regulation, and present-moment skills. The tone in sessions is nonjudgmental and practical. People who want clear steps, gentle accountability, and a therapist who will adapt methods often find this a good fit.
Sara aims to make the process easier to begin and easier to keep going.
Therapeutic approaches that work online
Sara uses approaches that translate well to remote sessions. Acceptance and Commitment Therapy (ACT) helps people clarify values and take small actions toward them while learning to accept difficult thoughts and feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and practicing new behaviors to reduce anxiety, depression, and problematic habits. Mindfulness-based techniques teach simple attention and breathing practices to reduce reactivity and improve emotional regulation.Finding the right approach is part of the work. Sara will collaborate with each person to choose methods that match their goals, needs, and day-to-day life. She adapts the mix of skills and exercises as progress develops, so the plan evolves with feedback from the client.
Online sessions offer practical benefits. Video calls allow face-to-face conversation and screen sharing for worksheets. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging suit brief check-ins, quick coping tools, and flexible communication between longer sessions. These options make scheduling easier and let people fit therapy into busy routines.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Eating disorders
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Jealousy
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trichotillomania
- Women's issues
Therapeutic approaches
- Experience
- 19 years
- Licensed
- Missouri, Kansas, New Hampshire, Alabama
- Languages
- English