About Sarah
Sarah Saragusa is a licensed professional counselor in Arkansas with 13 years of clinical experience. She helps people who feel overwhelmed by stress, anxiety, depression, or past trauma. She also supports those struggling with self-esteem, motivation, relationship and intimacy concerns, and issues like grief or addiction.
Sarah keeps sessions direct and practical. She listens first, then helps set clear, achievable goals. Conversations are tailored to each person's situation instead of using one fixed method.
Background and approach
She aims to make the work feel doable, even when problems seem big. Her background includes work with mood disorders, attachment and abandonment concerns, and patterns such as codependency and communication problems. Sarah draws on approaches that focus on how relationships shape feelings and on skills to change unhelpful thoughts and behaviors.
That combination helps people reduce symptoms and build healthier patterns over time. Sarah values respect, compassion, and sensitivity in the room. She involves clients in planning each step and adjusts the pace to fit comfort levels.
Clients can expect a blend of talking, practical exercises, and feedback to track progress. To begin, she asks a few questions to understand what’s happening now and what you want to change. From there she and the client set goals and choose strategies that fit daily life.
The work focuses on real problems and real changes people can notice week to week.
Approaches that guide online sessions
Attachment-Based Therapy looks at how past relationships affect current feelings and behavior. It helps people understand patterns around trust, closeness, and abandonment and work toward healthier ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on changing unhelpful thoughts and behaviors through clear steps and practice. It is often used for anxiety, depression, sleep problems, and mood regulation.Finding the right approach is part of the therapy process. The therapist will discuss goals and preferences and then recommend one or more methods to try. This is a collaborative process and adjustments are made based on what helps most in real life.
Online therapy offers flexible ways to connect. Video calls let people work face to face when deeper conversation is needed. Phone sessions can be easier when bandwidth is limited or a camera isn’t wanted. Live chat and text-based messaging provide brief check-ins, momentary support, and a way to practice skills between sessions. These options make it easier to fit therapy into work, family, or school routines and to keep momentum as progress is made.
Questions people ask
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What this counselor works with
Also listed
- Abandonment
- Addictions
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Narcissism
- Parenting issues
- Pregnancy and childbirth
- Self-love
- Sexuality
- Sleeping disorders
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 13 years
- Licensed
- Arkansas
- Languages
- English