About Sarah
Sarah Larsen-Astrones brings a practical, evidence-focused approach to therapy. She combines clear, goal-oriented work with steady support. Sarah holds MD, LCPC, and LIMHP credentials and has practiced for 13 years in Maryland and Nebraska.
She helps people manage stress and anxiety with straightforward strategies. Sessions often focus on improving confidence, motivation, and coping during life changes. Sarah also supports people dealing with focus, concentration, and memory challenges related to neurodivergence.
Background and approach
Sarah previously supervised counseling interns and taught continuing education courses at colleges and universities. That background informs a structured, teachable style in sessions. Expect guidance that translates into everyday routines and small, practical steps.
Conversations in her sessions aim to be nonjudgmental and down-to-earth. She works with each person to set clear goals and track progress. The tone is calm, direct, and centered on what helps day to day.
People who come for help with panic, social anxiety, or low self-esteem often work on skills for managing uncomfortable feelings. Others focus on relationships to understand attachment or abandonment concerns. Financial worries, midlife questions, and pregnancy-related stress are also areas she addresses.
Therapy starts with a short intake and a plan that fits individual needs. Sessions can include practical exercises, communication practice, and problem-solving tasks to use between meetings.
Evidence-Based Techniques and Online Access
Sarah uses evidence-based therapeutic techniques that focus on practical skills and clear goals. One approach emphasizes teaching coping and anxiety-management skills that help people reduce panic and handle day-to-day stress. Another approach concentrates on improving attention and organization for those with concentration or memory challenges, teaching routines and strategies to boost focus and follow-through.Choosing the right method is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn't worked before, then tailor the approach. Clients and the therapist regularly review progress and adjust methods so the work stays relevant and useful.
Online therapy offers several practical benefits: video calls let people use visual cues and practice communication skills in real time, phone sessions require less bandwidth and can be easier to fit into a break, and live chat or text-based messaging are helpful for quick check-ins or when a shorter touchpoint is needed. These options make it easier to keep continuity, fit sessions into busy days, and try different formats to see what works best.
Questions people ask
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What this counselor works with
Also listed
- Abandonment
- ADHD
- Attachment issues
- Communication problems
- Control issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Panic disorder and panic attacks
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Experience
- 13 years
- Licensed
- Maryland, Nebraska
- Languages
- English