Sara Nielsen
Experienced counselor for everyday struggles
- Credentials
- LCMHC, LCPC
- Experience
- 19 years
- Licensed in
- Missouri, Kansas, New Hampshire
- Languages
- English
- Format
- Online sessions
About Sara
Sara Nielsen is a licensed counselor practicing in Alabama. She holds LCMHC and LCPC credentials and brings 19 years of clinical work to her practice. She creates a calm, nonjudgmental space where people can talk through difficult emotions and day-to-day stress.
Her style is collaborative and interactive, with an emphasis on tailoring sessions to each person’s needs. In sessions she uses straightforward tools from cognitive behavioral therapy to help change unhelpful thoughts and habits.
Background and approach
She also uses Acceptance and Commitment Therapy to help people clarify values and move toward what matters. Dialectical Behavior Therapy and mindfulness techniques are part of her approach for emotion regulation and stress reduction. Sara has worked with many concerns including anxiety, depression, trauma and eating-related issues.
She also supports people facing relationship and family challenges, grief, intimacy issues, and career or self-esteem struggles. Other areas she addresses include addiction, ADHD, body image, and communication problems. Her work is practical and goal oriented, while remaining respectful of each person’s pace.
She helps people build skills and try small changes between sessions. The focus is on realistic next steps that fit daily life. For those new to therapy she offers guidance on getting started and what to expect.
The process begins with a brief matching questionnaire and scheduling, then moves into regular meetings shaped by the client’s priorities.
Therapeutic approaches and online options
Sara commonly draws from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings while clarifying personal values and taking small steps toward them. Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and actions and offers tools to reduce symptoms and change unhelpful patterns.Choosing the right approach is part of the work together. She will talk with each person about goals, preferences, and what feels most useful. That conversation guides whether sessions focus more on skills practice, mindfulness, values work, or other methods.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy fit into busy lives. These formats allow for flexible scheduling and for continuing work between meetings with short messages or chat when needed. Licensed professionals can use these options to help clients build skills, try new habits, and track progress without extra travel.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
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.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Trauma and abuse
- Eating disorders
Also works with
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Jealousy
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trichotillomania
- Women's issues
Therapeutic approaches
- Experience
- 19 years
- Licensed
- Missouri, Kansas, New Hampshire, Alabama
- Languages
- English
Next step
Talk to Sara
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point