PuttingFamilyFirst

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

SH Portrait of Sabrina Howell
Online therapist

Sabrina Howell

Practical, collaborative support for families and parents

Book with Sabrina
Credentials
LCMHC
Experience
20 years
Licensed in
North Carolina
Languages
English
Format
Online sessions

About Sabrina

Sabrina Howell is a licensed clinical mental health counselor who uses a collaborative, person-focused style. She encourages parents and family members to set clear goals while she helps guide the process. Her approach is practical and grounded, aimed at making therapy feel manageable for busy households.

Sabrina blends client-centered work with cognitive behavioral tools to help families handle stress, anxiety, grief, and parenting challenges. She pays attention to how feelings and behaviors affect everyday life.

Background and approach

Sessions look at relationships, routines, and the small changes that can reduce tension at home. With twenty years of experience, Sabrina has supported people facing trauma and mood concerns, including bipolar disorder and depression. She also works with issues related to ADHD, self-esteem, and grief.

Her background includes training in trauma-focused methods to help families and children process difficult events. Therapy with Sabrina is a team effort. She listens first, then suggests simple strategies to test between sessions.

Parents can expect clear ideas to try at home and time to talk through what did and did not help. She offers sessions that fit modern schedules, including video calls, phone sessions, live chat, and text-based messaging. Sabrina practices in North Carolina as NC LCMHC 5181 and conducts sessions in English, including with international clients.

Messages are typically answered once per day Monday through Saturday, usually after 5:00 p.m. Eastern Standard Time. Starting therapy begins with a short matching questionnaire and scheduling chosen by the client.

Approaches that translate to online family support

Sabrina uses client-centered therapy, which focuses on listening and responding to each family's goals in a nonjudgmental way. This approach helps parents shape sessions around what matters most to them and their children.

She also draws on cognitive behavioral therapy, a practical method that looks at thoughts and behaviors. CBT offers clear tools families can try between visits to reduce anxiety, manage mood, and change unhelpful patterns.

Finding the right approach is part of the work. Sabrina collaborates with clients to choose methods that match their goals, needs, and comfort level. She checks in regularly and adjusts strategies as progress is made.

Online therapy brings flexibility for busy families. Options include video calls, phone sessions, live chat, and text-based messaging so parents can fit sessions around school, work, and childcare. These formats let therapists provide guidance, suggest at-home exercises, and follow up on what works, while keeping care accessible across time zones for international clients.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Mindfulness Therapy

Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.

Frequently asked questions

What concerns does she address for families?
Sabrina works with stress, anxiety, relationships, family issues, trauma and abuse, depression, grief, parenting, self esteem, bipolar disorder, coping with life changes, and ADHD. She also focuses on related issues like attachment, adoption and foster care, and young adult concerns.
How would you describe her therapeutic style?
Her style is collaborative and client-centered, using cognitive behavioral techniques, mindfulness, and trauma-focused methods when appropriate. Sessions emphasize practical steps and exploring what feels stuck in daily life.
What is her clinical background?
She has twenty years of experience and training in trauma-focused therapy. That background informs work with families and children who have experienced traumatic events.
Where is she licensed to practice?
She is licensed in North Carolina as NC LCMHC 5181 and sees clients from that location.
Which languages and regions are supported?
Sessions are offered in English, and she accepts international clients.
What session formats are available?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.
How does cost and billing work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
20 years
Licensed
North Carolina
Languages
English

Next step

Talk to Sabrina

  • Takes a few minutes
  • Nothing to set up just to look
  • Stop at any point
Book with Sabrina