Sarah Fagan , LCMHC

Sarah Fagan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with ten years of professional counseling experience. She works with a broad range of concerns and is especially experienced in family dynamics, parenting and guardianship issues, friendships and romantic relationships, boundaries, grief, and trauma including childhood and domestic abuse.

Her practice also addresses fears and phobias, self-esteem and self-efficacy, depressive and anxiety disorders, autism spectrum conditions and ADHD, health-related challenges, healthcare work and military family stress, addictions, and major life transitions. She brings particular attention to themes such as abandonment, adoption and foster care, attachment issues, blended family dynamics, caregiver stress, chronic illness and pain, codependency, and communication and control difficulties.

Known for a warm, approachable, non-judgmental style, she aims to create a relaxed atmosphere while maintaining a professional stance. Her work is person-centered, strengths-based, and multicultural, and she adapts her methods to each person’s needs and preferences. Her clinical toolkit may draw on Cognitive Behavioral Therapy, Attachment-Based Therapy, Acceptance and Commitment Therapy, Existential Therapy, schema work, Gottman approaches, mindfulness, narrative techniques, play and filial therapy, and EMDR when appropriate. She also values nature, music, creativity, and humor as complementary supports in therapy.

Sarah seeks to collaborate with clients who are ready to begin a new chapter and offers supportive guidance to help them move toward greater wellbeing.

Therapeutic Approaches and Online Care

Sarah Fagan draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, and a client-centered framework to guide online work. Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and develop practical steps to move toward those values while learning to tolerate difficult thoughts and feelings. Attachment-Based Therapy explores how early and current relationships shape emotional patterns and helps clients build healthier ways of relating that reduce anxiety and mistrust. Client-Centered Therapy emphasizes the therapist’s empathy, genuine presence, and non-judgmental support so clients can explore goals at their own pace and build on existing strengths.

Choosing the right approach is part of the therapeutic process. Sarah works collaboratively with each person to identify which methods fit a client’s needs, goals, and preferences, adjusting the plan as progress unfolds. This shared decision making helps ensure therapy feels relevant and manageable.

Online sessions by video call, phone, live chat, or text-based messaging make it easier to access care from home, work, or other settings. Those options provide flexibility with scheduling, allow therapy to continue through life changes, and enable licensed professionals to offer consistent support in ways that suit individual routines and comfort levels.