- CBT methods
- ACT strategies
- Mindfulness skills
About Sara
Sara Nielsen is a Licensed Clinical Mental Health Counselor (LCMHC) in New Hampshire and a Licensed Clinical Professional Counselor (LCPC) in Kansas with 19 years of experience. She works with a wide range of concerns including stress, anxiety, trauma and abuse, eating issues, depression, relationship struggles, and anger. Sara uses several evidence-informed approaches and keeps sessions focused on practical steps clients can use between meetings.
Her style is collaborative and interactive. She listens for what matters most and uses that to guide sessions. Conversations are straightforward and focused on what to change and how to try new strategies in daily life.
Sara draws from cognitive behavioral ideas to identify unhelpful thinking and behavior patterns. She also uses acceptance and commitment techniques to clarify values and build actions that align with those values. Mindfulness skills and dialectical behavior techniques appear when emotion regulation and distress tolerance are priorities.
People who come for help with anger often work on recognizing triggers, changing short-term reactions, and practicing alternative responses. Sara talks through real scenarios and helps clients rehearse different ways of responding. She also addresses related issues such as sleep, impulsivity, communication problems, and co-occurring depression or anxiety.
Sara has worked with complex issues across long-term practice and adapts methods to fit each person’s goals. She explains techniques in plain language and focuses on skills clients can practice between sessions. To begin, she asks about current struggles, priorities, and what a useful next step would look like.
How her therapeutic approaches are used online
Sara uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters to them and take small, value-driven steps. ACT focuses on actions tied to personal values and can be useful when anger or avoidance gets in the way of things someone cares about.She also relies on Cognitive Behavioral Therapy (CBT) to spot thinking and behavior patterns that amplify stress and anger. CBT involves practical exercises and experiments clients can try between sessions to test new ways of thinking and acting. Mindfulness techniques are integrated to help notice strong emotions and reduce reactivity through brief practices.
Finding the right approach is part of the work. Sara will collaborate with clients to choose methods that fit goals, preferences, and the urgency of current problems. She checks in about what helps and adjusts methods over time so the plan stays useful.
Session formats are not specified in the biography, so confirm current online session options before booking. Online work can make it easier to fit therapy into busy days, allow shorter check-ins when needed, and remove travel time. It also lets therapists use exercises, worksheets, and in-the-moment coaching to practice new responses between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
19+ years
Listed in
Missouri, Kansas, New Hampshire, Alabama
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
Sara works with stress, anxiety, trauma and abuse, eating and food-related issues, depression, relationship and intimacy problems, anger, sleep problems, ADHD, and related concerns listed in her profile.
How would she approach anger in sessions?
She uses practical work such as identifying triggers, rehearsing alternative responses, and building emotion regulation skills drawn from CBT, DBT, and mindfulness approaches.
How much experience does she have?
Sara has 19 years of clinical experience working with a broad range of issues including mood, trauma, and behavioral concerns.
What are her credentials and where is she based?
She holds LCMHC and LCPC credentials: NH LCMHC and KS LCPC. She practices from Alabama as noted in her profile.
Which languages are sessions offered in?
Sessions are offered in English.
Does she take clients from other countries?
International clients are not currently accepted according to the profile.
How does pricing work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What should I do to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin.