About Sarah
Sarah Brey greets adults who feel stuck, uncertain, or worn down by life changes. She helps people who want to rebuild self-worth, address eating and addiction concerns, or process past trauma. Sarah presents a calm, encouraging presence and focuses on small, practical shifts that add up over time.
Sarah uses her Nevada LCPC credential and four years of counseling work to guide sessions. She favors concrete methods such as journaling, parts work, and sensory-based exercises to help people notice progress between meetings.
Background and approach
Sessions aim to translate insight into everyday habits so change feels doable. Her background includes work with people facing addiction, trauma and abuse, body image and eating concerns, and low self-esteem. She also addresses related areas like attachment struggles, codependency, control issues, guilt and shame, and mood differences.
Her approach is attentive to how these themes show up in daily life. In a first session she reviews what brought someone to therapy, relevant history, and immediate goals. Later sessions introduce practices tailored to those goals, such as guided parts work, readings to reflect on, and somatic exercises to notice bodily responses.
The aim is to build steady confidence and clearer boundaries. Sarah keeps language simple and practical so people can use what they learn right away. She works collaboratively to pick tools that fit a person's rhythm and needs, helping people move from feeling overwhelmed to feeling more able to act on their values.
Practical approaches for online healing
Sarah uses evidence-based techniques that people can practice between sessions. Parts work involves noticing different inner voices or parts and learning how they can cooperate; it helps with self-criticism, trauma responses, and decisions that feel conflicted. Somatic-based exercises focus on body sensations and simple movement or breathing, which can reduce overwhelm and make emotions easier to name and manage.Clients also learn skills from dialectical-behavioral approaches to manage strong emotions and build safer routines. These skills include distress-tolerance exercises and emotion regulation practices that are useful for cravings, mood swings, and stressful life moments. The therapist adapts these methods to each person’s goals and pace in a collaborative way, so choices about approach are made together rather than prescribed up front.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to fit different needs. Video is useful for longer, interactive sessions and guided parts work. Phone calls can be easier when bandwidth is limited or a quieter check-in is needed. Live chat and messaging work well for quick reflections, journaling prompts, or shorter skill practice throughout the week. These options make it possible to keep regular momentum while fitting therapy into a busy life.
Questions people ask
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What this counselor works with
Most often
- Addictions
- Trauma and abuse
- Eating disorders
Also listed
- Attachment issues
- Body image
- Codependency
- Control issues
- Coping with life changes
- Drug and alcohol addiction
- Eating and food-related issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Life purpose
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Women's issues
- Experience
- 4 years
- Licensed
- Nevada
- Languages
- English