About Sarah
Sarah Ritchea O'Connor is a Licensed Professional Counselor (LPC) with ten years of experience helping people manage stress, anxiety, grief, depression, trauma, and addiction. She works with clients facing issues around relationships, intimacy, body image, and self-esteem. She also supports people navigating gender identity concerns, LGBTQ matters, and the effects of caregiving or first responder work.
Sarah uses a practical, down-to-earth style in sessions. She listens first and then helps clients set small, realistic goals.
Background and approach
Conversations focus on what feels most urgent and what can be changed now. She offers coaching-style support when clients want help with life direction or career questions. Her approach draws on attachment-based ideas to look at how relationships shape feelings.
She uses cognitive behavioral strategies to address unhelpful thoughts and Dialectical Behavior Therapy skills to manage strong emotions. Sessions may include mindfulness and existential conversations about meaning and values. Sarah holds LPC and Licensed Mental Health Counselor credentials in the states listed.
She tailors each plan to the person in front of her rather than using a one-size-fits-all method. That means practical coping skills, communication practice, and problem-solving work when those fit the goals. Therapy can look different from week to week.
Some people want short-term coaching for a specific problem. Others work more slowly on trauma, grief, or long-standing patterns. Sarah supports each pace and adjusts based on progress and needs.
Approaches that guide online sessions
Attachment-based work looks at how early and current relationships affect feelings and behavior. It can help when relationship patterns, trust, or closeness are causing pain or repeating problems. Client-centered therapy centers on the person's experience in the moment; the therapist listens without judgment and follows the client's lead to help them find their own solutions. Cognitive behavioral therapy focuses on spotting unhelpful thoughts and practicing new ways of thinking and behaving to reduce anxiety, depression, and related symptoms.Finding the right approach is a collaborative process. Sarah will discuss different methods and try what seems to fit best for a person's goals and preferences. Together they check progress and adjust the plan when needed so therapy stays practical and relevant.
Online work offers several flexible ways to connect. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a good option when bandwidth is limited or someone prefers not to be on camera. Live chat and text-based messaging make brief check-ins and between-session support easier to fit into a busy schedule. These formats help people keep therapy going across distances and life demands.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Texas, Washington
- Languages
- English