- Years in practice
- 15
- Credentials
- LCSW
- Licensed in
- Virginia
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Grief
About Sarah
Sarah Axley is a Licensed Clinical Social Worker who helps people facing stress, anxiety, parenting challenges, grief, addiction, and mood concerns. She speaks plainly and focuses on practical steps parents can use right away. Sarah encourages clients to notice strengths they already have and build from there.
She trained in psychology and social work at Virginia Commonwealth University and completed a post-baccalaureate certificate in aging studies. Sarah has provided psychotherapy since 2009 across outpatient clinics, intensive community settings, and a hospital.
Background and approach
Her work has included supporting people with depression, bipolar presentations, trauma, substance use, and autism spectrum challenges. Sarah favors a collaborative style. Sessions aim to help people understand feelings, develop coping skills, and change unhelpful thinking patterns.
She blends client-centered methods with cognitive behavioral techniques, motivational interviewing, and mindfulness practices to match each person’s needs. Practical homework and small experiments between sessions are common. Sarah believes that much of the change happens in daily life, so she supports concrete steps parents can try between meetings.
She also draws on narrative techniques to help people reframe difficult stories they tell themselves. She practices in Virginia and works with people from various backgrounds, including those in the LGBTQ+ community. Sarah brings 15 years of clinical experience and emphasizes respect, patience, and clearly stated goals when planning treatment.
If a straightforward, skills-oriented approach appeals, she can work collaboratively to set short-term goals and track progress over time.
What Sarah works with
Everything Sarah lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Sarah helps people with.
- Stress, Anxiety
- Addictions
- Grief
- Self esteem
- Depression
- LGBT
- Relationship issues
- Family conflicts
- Trauma and abuse
- Sleeping disorders
- Parenting issues
- Anger management
- Bipolar disorder
- Coping with life changes
- Aging and geriatric issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- First responder issues
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Self-love
- Social anxiety and phobia
- Women's issues
- Young adult issues
Approaches Sarah lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Therapeutic approaches for online parenting support
Sarah often uses client-centered therapy, which focuses on listening and building a respectful working relationship so parents feel heard and understood. This approach helps people identify goals and decide what matters most for their situation.She also applies cognitive behavioral therapy, a hands-on method that looks at patterns of thinking and behavior. CBT helps with anxiety, sleep issues, low mood, and the everyday stresses of parenting by teaching new thought skills and concrete behavior changes.
Finding the right approach is a collaborative process. The therapist will discuss goals, try different techniques, and adjust plans based on what works for the client. This means sessions can shift over time to meet changing needs and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging, giving flexibility for busy schedules. Video sessions allow face-to-face conversation; phone sessions can be a shorter check-in or a lower-bandwidth option. Live chat and text messaging work well for brief updates, ongoing coaching, or when people prefer written communication. These options make it easier to fit therapy into school runs, work breaks, or caregiving responsibilities.
Questions people ask about Sarah
What kinds of concerns does she address?
She helps people with stress, anxiety, depression, grief, addictions, sleep problems, parenting challenges, relationship issues, trauma, bipolar mood differences, and related concerns.
What is her therapy style like?
Her style is collaborative and straightforward. She uses client-centered conversation, cognitive behavioral strategies, mindfulness, motivational interviewing, and narrative ideas to set practical goals.
How much clinical experience does she have?
She has worked in psychotherapy since 2009, bringing about 15 years of experience across outpatient clinics, community-based programs, and hospital settings.
What credential does she hold and where is she based?
She is a Licensed Clinical Social Worker (LCSW) and practices in Virginia.
Which languages are sessions offered in?
Sessions are offered in English, and she is available to work with international clients as well.
What session formats does she use?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.
How does pricing and payment work?
Cost varies by location and therapist availability. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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Menzo Faassen
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