About Sarah
Sarah Fulfer is a licensed professional counselor in Texas with five years of experience. She helps people who are dealing with stress, anxiety, depression, trauma and abuse, parenting strain, and major life changes. Her style is straightforward and respectful, and she aims to help clients take practical steps toward feeling better.
Sarah draws on work she did in hospitals, community agencies, and a local church. That variety shaped the way she mixes practical coping skills with attention to a person's values and beliefs.
Background and approach
She pays attention to thoughts, feelings, and the actions that follow, and looks for patterns that keep someone stuck. Her approach blends client-centered care with cognitive-behavioral ideas. That means she listens, reflects what she hears, and helps people test new ways of thinking and acting.
She also offers space to discuss spiritual beliefs when clients want that included, and will refrain from faith-based exploration if a client prefers not to include it. Sarah takes a whole-person view that considers mind, body, and spirit. She works with people to set clear, achievable goals and then breaks those goals into manageable steps.
She also helps identify habits and behaviors that get in the way of progress. In sessions people can expect a calm, practical tone and concrete tools to try between meetings. The aim is steadier relationships with self and others, clearer priorities, and more control over daily choices.
Approaches that guide online sessions
Sarah blends client-centered listening with cognitive-behavioral techniques. Client-centered work means the therapist listens openly, reflects back what she hears, and follows the pace the person prefers. Cognitive-behavioral ideas focus on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, depression, and stress.She also integrates whole-person thinking that considers mind, body, and spirit when clients want that included. That can mean discussing values, routines, and beliefs alongside practical coping skills. Choosing the right mix is collaborative - the therapist will work with the client to try approaches and adjust based on what fits their goals and comfort level.
Online formats make this flexibility easier. Video calls let people work face-to-face from wherever they are, while phone sessions can be a simpler option that uses less bandwidth. Live chat and text-based messaging allow for shorter check-ins or ongoing support between sessions. These options help people fit therapy around work, family life, and busy days while keeping the same focus on practical tools and steady progress.
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What this counselor works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Parenting issues
Also listed
- Adoption and foster care
- Body image
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- First responder issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Life purpose
- Money and financial issues
- Panic disorder and panic attacks
- Post-traumatic stress
- Self-love
- Sexual assault and abuse
- Workplace issues
- Young adult issues
- Experience
- 5 years
- Licensed
- Texas
- Languages
- English