About Sarah
Sarah Ritchea O'Connor helps people facing stress, anxiety, trauma, grief, depression, addictions, and challenges around identity and relationships. She works with concerns like eating and sleeping problems, parenting strain, anger, low self-esteem, and career stress. Sarah is a Licensed Professional Counselor, LPC, and a Licensed Mental Health Counselor, LMHC, and she practices in Texas.
Sarah uses straightforward conversation to understand what matters most to each person. She adapts sessions to the issue at hand and to how the client prefers to work.
Background and approach
She emphasizes respect, sensitivity, and compassion while tailoring the plan to fit individual needs. Clients can expect practical goals and clear steps between sessions. Her background includes about ten years in clinical counseling roles across Texas and Washington.
That experience covers trauma and abuse, major depression, bipolar disorder, and a range of eating disorders. In recent work she has supported many people from LGBTQ plus communities and also addresses caregiver stress, first responder issues, and veteran concerns. Therapy sessions focus on building better coping skills and stronger day-to-day routines.
She draws from methods that help people change unhelpful thinking, manage intense emotions, and improve close relationships. Sarah also works on life purpose, forgiveness, and reducing isolation when that is part of the concern. People seeking help will find a counselor who listens and adjusts the approach as needed.
Sarah encourages clients to set realistic steps and to check progress along the way. She frames therapy as a collaborative process aimed at meaningful, usable change.
Therapeutic approaches and online care that fit your life
Attachment-based work focuses on how early relationships shape current patterns of closeness and trust. Sessions look at relationship habits and help people build safer, more dependable ways of connecting with others. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and behaviors; it helps with anxiety, depression, and unhelpful habits by teaching practical skills to shift thinking and routine. Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and better interpersonal skills for people who struggle with intense feelings or crisis moments.Finding the right approach is part of the work. The therapist will collaborate with each client to choose methods based on their goals, preferences, and the issues they bring. Plans are adjusted as progress is made so the approach stays relevant and useful.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video calls allow face-to-face interaction for skills practice. Phone sessions use less bandwidth and can fit into a work break. Live chat and text messaging are useful for shorter check-ins and ongoing support between longer sessions. These options help people fit therapy into busy lives and keep momentum between appointments.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also works with
- 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