- CBT approaches
- Mindfulness practices
- Motivational interviewing
About Sarah
Sarah Axley is a Licensed Clinical Social Worker (LCSW) with 15 years of clinical experience based in Virginia. She helps people facing stress, anxiety, addictions, grief, low self-esteem, depression, relationship strain, parenting pressures, sleep problems, and anger. She also supports those coping with bipolar disorder, trauma and abuse, and life changes.
Sarah trained in psychology and social work at Virginia Commonwealth University and completed a Post Baccalaureate Certificate in Aging Studies. She has offered psychotherapy since 2009 in outpatient clinics, intensive community programs, and hospital settings. Her work has included helping people with substance use concerns, trauma-related symptoms, and neurodevelopmental differences.
Her sessions focus on practical skills and clear collaboration. She combines client-centered conversations with evidence-informed methods. That may include looking at thinking patterns, practicing mindfulness skills, and using motivational techniques to support change. Clients are asked to try small tasks between sessions to build what they learn in therapy.
Sarah identifies as LGBTQ+ informed and has experience supporting people through grief and stress tied to current events. She emphasizes strengths and resilience and works with people who want to understand patterns and make concrete changes. Her approach is straightforward and task-oriented when helpful.
She works evenings and some weekend times and uses a subscription model that can be canceled at any time. To begin, clients complete a short matching questionnaire and schedule a first session through the site.
How Sarah blends practical methods for online sessions
Sarah commonly uses cognitive behavioral therapy to help people notice and change unhelpful thinking and behavior patterns. CBT often involves setting small goals and trying out different responses to stress or anger in daily life. Mindfulness therapy is another approach she brings in to help people develop simple awareness and grounding skills that reduce reactivity and help with sleep and stress.She also uses motivational interviewing to support readiness for change. That approach focuses on the client’s own priorities and reasons for change, and it can be useful when motivation feels mixed or when substance use or habits are part of the picture. Choosing an approach is collaborative; she works with each person to see what fits their goals and preferences and adjusts methods as needed.
The practical benefit of online work is fitting sessions into a busy life. Confirm the specific session options before booking, since formats were not detailed in the biography. People often find virtual sessions easier to schedule around evenings or weekends, allow for shorter check-ins when needed, and make it simpler to practice skills between meetings. The focus remains on concrete tools and figuring out small steps that can reduce anger and stress in everyday situations.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, addictions, grief, anger, parenting strain, and related concerns including trauma and bipolar symptoms.
How would you describe her therapy style?
She uses a client-centered approach that mixes practical skill work and conversations to identify goals and next steps.
What is her clinical background?
She has provided psychotherapy since 2009 across outpatient, community-based, and hospital settings and has 15 years of experience.
What credentials and location apply to her practice?
She is a Licensed Clinical Social Worker (LCSW) licensed in Virginia and practices from that state.
Are sessions offered in other languages or internationally?
Sessions are offered in English and international clients are accepted.
Which session formats are available?
Please confirm current session options before booking, as formats are not specified in the biography.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule an initial session.