Sarah Larsen-Astrones is a licensed clinician in Maryland with 13 years of experience.
01About Sarah
Sarah Larsen-Astrones is a licensed clinician in Maryland with 13 years of experience. She combines practical, evidence-based techniques with straightforward conversation to help people manage stress, anxiety, and life changes. She often focuses on issues around self-esteem, motivation, and confidence.
She also supports people who have trouble with concentration, memory, and focus related to neurodivergence and ADHD. Sessions are meant to be a place to talk honestly and find steps that feel doable.
Background and approach
Sarah trained and worked in academic settings as a counseling intern site-supervisor and provided continuing education courses at colleges and universities. That background informs her practical approach to common problems like panic attacks, social anxiety, and feelings of isolation. Her work also addresses attachment and abandonment concerns, communication problems, control issues, and guilt or shame.
She helps people navigate life transitions, financial stress, and questions about purpose or midlife changes in a clear, goal-oriented way. Sarah holds MD, LCPC, and LIMHP credentials, which are listed as provided. She offers sessions in English and does not accept international clients.
Therapy starts with a short matching questionnaire and scheduling to fit the person’s needs.
02Credentials
- LCPC (Maryland)
- License LC12190 · expires January 2027
- LIMHP (Nebraska)
- License 2315 · expires September 2026
- NPI
- 1821435702 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Sarah lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Self esteem
- Coping with life changes
- ADHD
- Abandonment
- Attachment issues
- Communication problems
- Control issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Panic disorder and panic attacks
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
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04Online support
Evidence-based approaches for online support
Sarah uses evidence-based therapeutic techniques that focus on practical skills and understanding patterns. One common approach is skill-based work that teaches breathing, grounding, and coping strategies to manage anxiety and panic. These tools help reduce the intensity of symptoms and give simple steps to use when stress rises.Another frequent emphasis is on attention and organization strategies for people with ADHD or focus challenges. This can include structuring tasks, breaking projects into smaller steps, and building routines that reduce overwhelm and improve follow-through.
Finding the right approach is part of the work together. The therapist collaborates with each person to match methods to their needs, goals, and preferences. If one tactic doesn’t fit, alternatives are tried until the client feels comfortable and makes steady progress.
Online sessions are available as video calls, phone sessions, live chat, or text-based messaging to offer flexibility. Video sessions allow face-to-face conversation and visual cues. Phone sessions can work when bandwidth is limited or when a shorter check-in fits the day. Live chat and messaging let people write through thoughts, send quick updates, and fit therapy around work or family life. These options make it easier to keep consistent momentum toward goals.
05Questions people ask
What concerns does Sarah commonly address?
She works with stress, anxiety, self-esteem, coping with life changes, and ADHD-related focus issues. Additional focuses include attachment, communication, guilt, and social anxiety.
What is her therapeutic style like?
Her style is practical and evidence-based with straightforward conversation. Sessions aim to identify concrete steps and skills that can be used between meetings.
What kind of background does she bring?
She has 13 years of professional experience and has served as a counseling intern site-supervisor and CE course provider at multiple colleges and universities.
Where is she licensed and based?
She is licensed in Maryland and holds the credentials MD, LCPC, and LIMHP as provided in her profile.
In which language are sessions offered?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
Sessions are offered as video calls, phone sessions, live chat, or text-based messaging to suit different preferences and schedules.
How does payment and cost work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to the therapist's availability.
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