- Stress and anxiety
- Focus and motivation
- Money concerns
About Sarah
Sarah Larsen-Astrones is a licensed clinical professional counselor and licensed independent mental health practitioner with 13 years of experience. She practices in Maryland and draws on a practical, evidence-based approach to help people manage stress, anxiety, and life transitions. Sarah focuses on building confidence, improving concentration, and supporting people wrestling with motivation and self-esteem.
She has taught at colleges and universities and previously supervised counseling interns. That background informs a straightforward style that values clear goals and steady progress. Sessions are intended to be a place where thoughts and feelings are shared without judgment.
Her work often addresses difficulties with focus and memory tied to neurodivergent traits. She also helps people navigate relationship patterns such as attachment and abandonment worries, communication problems, and control issues. Money and financial issues are an included focus area when they affect wellbeing.
Sarah supports people coping with panic, social anxiety, and life-stage challenges like midlife questions and pregnancy-related concerns. She also helps people process guilt, shame, forgiveness, and isolation while exploring purpose and self-love.
Her approach aims to be collaborative and practical. Clients and Sarah work together to set aims and try strategies that match real life. To begin, prospective clients use the site Start Therapy flow to complete a short questionnaire and schedule based on therapist availability.
How evidence-based techniques can fit into online care
Sarah uses practical, evidence-based techniques that help people manage symptoms and build skills. One common approach focuses on managing anxiety and panic through breathing, behavioral experiments, and gradual exposure to feared situations; this helps reduce avoidance and increase everyday confidence. Another emphasis is on strategies for attention and motivation, including structured routines, task breakdowns, and memory supports to improve concentration and follow-through.Choosing the right method is a collaborative process. The therapist works with each person to identify goals, tries different techniques, and adjusts based on what feels helpful. Together they track progress and pick approaches that match the person’s needs and preferences.
If you are considering online therapy, check the available session formats before booking because the biography does not list specific options. Online sessions can make it easier to fit therapy into work breaks, reduce travel time, and allow more flexible scheduling. They can also let people use shorter check-ins when time is limited or avoid being on camera when that feels better. Confirm the exact formats offered and scheduling details during the intake process.
Areas of focus
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, self-esteem, and coping with life changes. Money and financial issues are listed as one of the focus areas.
What is her general therapeutic style?
Her approach is practical and evidence-based, focused on clear goals and steady progress. Sessions aim to be open and nonjudgmental.
How much clinical experience does she have?
She has 13 years of professional experience, including teaching at colleges and supervising counseling interns.
What are her credentials and where is she based?
She holds LCPC and LIMHP credentials and practices in Maryland.
Which languages are supported and can international clients work together?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
The original biography does not specify session formats; please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I get started with scheduling?
Use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.