PuttingFamilyFirst

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SD Portrait of Sarah Duncan
Online therapist

Sarah Duncan

Compassionate help for life and relationship challenges

Credentials
LCSW
Experience
9 years
Licensed in
Texas, Tennessee
Languages
English
Format
Online sessions

About Sarah

Sarah Duncan is a licensed clinical social worker who helps people facing stress, anxiety, depression, relationship tensions, and family conflicts. She works with adults navigating life changes and those experiencing addiction or mood challenges. Sarah practices in Texas and brings nine years of clinical experience to sessions.

She aims to make the first step into therapy feel manageable and respectful of each person's pace. Sarah keeps sessions straightforward and practical.

Background and approach

She creates a calm space where clients can talk about what matters most. Her approach focuses on identifying clear goals, learning tools to manage day-to-day challenges, and finding actions that fit each person’s values. She uses evidence-based methods like cognitive behavioral therapy to shift unhelpful thinking patterns.

Acceptance and Commitment Therapy helps people accept difficult feelings while taking meaningful action. Sarah also draws on client-centered and narrative ideas to center each person’s story and strengths. Sessions can include mindfulness practices to reduce stress and simple experiments to try between meetings.

Financial concerns and caregiver stress are part of the topics she will address when relevant. Sarah aims to help clients build practical skills and greater self-understanding. Her license is LCSW and she holds credentials in both Texas and Tennessee.

Sarah believes beginning therapy takes courage, and she focuses on steady, compassionate support as people work toward clearer goals.

Therapeutic approaches and how they work online

Sarah commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in sessions. Acceptance and Commitment Therapy, or ACT, focuses on accepting difficult feelings while clarifying values and taking action toward what matters. It can help with anxiety, depression, and life transitions by shifting the emphasis from fighting feelings to building a meaningful life.

Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thoughts and patterns. It uses straightforward exercises and experiments to change thinking and behavior, which can reduce symptoms of anxiety, depression, and mood disorders.

Finding the right approach is a collaborative process. The therapist will work with each person to choose methods that match their goals, preferences, and the problems they want to address. Techniques may be blended and adjusted over time based on what proves most helpful.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, continue work during life changes, or use brief check-ins between meetings. Many people find the range of formats helpful for practicing skills and staying connected to treatment while managing daily responsibilities.

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

What concerns does she help people with?
Sarah supports people coping with stress, anxiety, depression, addiction, trauma, relationship and family issues, bipolar and mood disorders, caregiver strain, and related topics such as money worries and life purpose.
What is her general therapy style?
Her style is down-to-earth and goal oriented. She focuses on clear steps, practical tools, and respectful listening so clients can try new ways of coping between sessions.
How much clinical experience does she have?
She has nine years of professional therapy experience working with a range of concerns including family and relationship difficulties and life transitions.
What are her credentials and where is she located?
She is licensed clinical social worker, LCSW, licensed in Texas and Tennessee with the numbers TX LCSW 68968 and TN LCSW 6994, and she practices in Texas.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How are fees and payments handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I start therapy with her?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Next step

Talk to Sarah

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