Sarah Larsen-Astrones , MD, LCPC, LIMHP

Sarah Larsen-Astrones is a licensed mental health professional with 13 years of clinical experience. She holds the credentials MD, LCPC, and LIMHP - MD indicates a medical doctorate, LCPC denotes a Licensed Clinical Professional Counselor, and LIMHP denotes a Licensed Independent Mental Health Practitioner. Licensed to practice in multiple states, she combines clinical training and practical experience to support people facing anxiety, stress, low self-esteem, and major life transitions.

Before focusing on direct clinical work, she served as a counseling intern site-supervisor and provided continuing education courses, teaching at colleges and universities across several states. That background informs a structured, educated approach to therapy and a commitment to ongoing learning and professional development. She also brings experience helping people who struggle with concentration, memory, and focus often associated with neurodivergence.

Her practice centers on collaboration and empathy, creating space for exploration of thoughts and feelings without judgment. She works with individuals on issues that include panic and social anxiety, relationship and attachment concerns, control and communication problems, guilt and forgiveness, life purpose, and challenges around pregnancy and midlife. Sarah aims to support clients as they take the often courageous first steps toward greater confidence, improved coping, and a more fulfilling life.

Evidence-Based Techniques and Flexible Online Care

Sarah uses evidence-based therapeutic techniques that focus on practical skills for coping and change. One approach emphasizes identifying and shifting patterns of thinking and behavior to reduce anxiety and improve mood - this helps people manage stress, panic, and social anxiety by learning new ways to respond to difficult situations. Another approach targets attention, organization, and coping strategies for neurodivergent challenges and ADHD-related concentration problems - it teaches tools for memory, focus, and daily functioning that clients can apply in work and home life. She also incorporates structured support for life transitions and self-esteem work to help clients navigate midlife challenges, pregnancy-related concerns, relationship and attachment issues, and questions of purpose.

Finding the right approach is a collaborative process. Sarah works with each person to determine which techniques align with their goals, preferences, and day-to-day needs, adjusting methods as progress unfolds. That partnership helps tailor treatment to what actually works for the individual.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into a busy schedule, maintain continuity during life changes, and access licensed professionals from different locations, all while preserving the therapeutic focus and support needed for real change.