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- CBT techniques
- Attachment work
- DBT skills
About Sarah
Sarah Ritchea O'Connor is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) licensed in Texas, with 10 years of counseling experience. She works with stress, anxiety, depression, trauma and abuse, addictions, and relationship and intimacy concerns. She also lists specialties that include parenting, ADHD, bipolar disorder, grief, body image, and LGBT issues.
Her approach is client-centered and attachment-based. She uses practical tools from cognitive behavioral therapy and skills from dialectical behavior therapy when helpful. She aims to adapt conversations and plans to each person's goals and circumstances.
She has worked with eating disorders, major depressive disorder, and bipolar presentations. In recent practice she has more experience with people who identify as LGBTQ plus. She also notes work related to caregiver stress, first responder and veteran issues, and end-of-life concerns.
Sessions focus on identifying problems, building coping skills, and setting short-term goals. She emphasizes direct discussion about what is and is not working, and introduces concrete strategies for mood, sleep, and stress management.
Sarah practices in Texas. Sessions are conducted in English. For international clients she is not accepting clients from outside the United States. Prospective clients should confirm current session options before booking.
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How therapeutic approaches translate to online sessions
Attachment-Based Therapy focuses on patterns in close relationships and how early bonds affect current trust and safety. In online work this can help with relationship and intimacy concerns by tracking interaction patterns and practicing new ways of relating during sessions. Client-Centered Therapy centers the client's perspective and pace. The therapist listens and reflects, helping people clarify goals and decide what changes matter most. This approach supports a steady, person-led process in remote sessions. Cognitive Behavioral Therapy (CBT) targets thoughts and behaviors that keep problems going. Online CBT typically involves identifying unhelpful thinking, testing beliefs, and trying behavior changes between sessions to reduce anxiety or depressive symptoms. Finding the right approach is part of the work together. The therapist will discuss goals, try methods that fit, and adjust based on what helps most. This is a collaborative process that aims to match techniques to the client's needs and preferences. Confirm what session formats are currently offered before booking. The practical benefits of online work include easier scheduling on busy days, shorter check-in sessions when needed, and the ability to continue care without traveling. Ask about specific session options when you complete the initial questionnaire so you know what to expect.03
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Texas, Washington
Languages
English
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Frequently asked questions
What issues does she commonly address?
She works with stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy issues, and related concerns such as eating and sleeping problems.
How does she approach therapy?
She uses a client-centered stance combined with attachment-based ideas. She also draws from cognitive behavioral and dialectical behavior approaches when they fit the situation.
How much clinical experience does she have?
She has 10 years of professional counseling experience.
What credentials and location are listed?
She is an LPC and LMHC licensed in Texas and practices in Texas.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions paid for?
Cost varies by location and sessions use a subscription that can be canceled at any time.
What steps do I take to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.