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Sara Nielsen, LCMHC, LCPC

Collaborative counselor for meaningful change
  • 19 years experience
  • Collaborative counseling style
  • Video phone chat messaging

About Sara Nielsen

Sara Nielsen is a licensed counselor based in Alabama with 19 years of clinical experience. She holds the LCMHC and LCPC credentials, licenses that authorize her to provide professional counseling services. Over nearly two decades she has worked with individuals and couples facing a broad range of concerns, including depression, anxiety, trauma and abuse, eating and food-related issues, obsessive compulsive patterns, relationship and family problems, addictions, grief, and challenges related to identity and intimacy.

Sara practices in a collaborative, interactive manner that centers the client’s needs and preferences. Her work is guided by approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and mindfulness-based techniques, combined with strengths-based interventions. She adapts those methods to fit each person’s goals, helping to identify practical strategies, develop coping skills, and explore underlying patterns that contribute to distress.

Recognizing how difficult it can be to seek help and make meaningful change, she offers steady support through the therapeutic process. Sara partners with clients to clarify priorities, set achievable steps, and build resilience, welcoming the chance to assist people as they work toward greater balance and well-being.

Areas of Expertise

Also Specializes In

AddictionsLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesSleeping disordersAnger managementSelf esteemCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional Focus Areas

Body imageCo-morbidityCodependencyCommunication problemsDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsForgivenessGender dysphoriaGuilt and shameHoardingImpulsivityInfidelityJealousyLife purposeMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaTrichotillomaniaWomen's issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Sara Nielsen have?

Sara Nielsen has 19 years of experience in clinical practice.

Is Sara Nielsen a licensed therapist?

Yes. She holds the credentials LCMHC and LCPC and maintains professional licenses. License details: NH LCMHC 3364, KS LCPC LCPC 2756.

In which languages does Sara Nielsen provide therapy?

Sara Nielsen provides therapy in English.

Where is Sara Nielsen located?

Sara Nielsen is located in Alabama.

How can I work with Sara Nielsen as my therapist?

Clients can work with Sara Nielsen through video calls, phone sessions, live chat, or text-based messaging.

Does Sara Nielsen work with international clients?

Sara Nielsen does not currently work with international clients.

How much does therapy with Sara Nielsen cost?

The cost of therapy can vary depending on factors such as location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic approaches and online care

Sara Nielsen draws from several evidence-informed approaches to help clients address emotional and behavioral challenges. Acceptance and Commitment Therapy (ACT) encourages people to clarify their values and take committed action while learning to accept difficult thoughts and feelings - it is useful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought patterns and behaviors to reduce symptoms and build practical coping skills, often helping with depression, anxiety, and compulsive behaviors. Dialectical Behavior Therapy (DBT) teaches emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness skills, which can be particularly helpful for intense emotions, relationship difficulties, and impulsivity.

Choosing the right approach is part of the therapeutic process. Sara works collaboratively with clients to assess needs, clarify goals, and tailor methods so the selected strategies fit each person’s circumstances and preferences. The therapy plan evolves as progress is made and priorities shift.

Online therapy offers flexible ways to engage in this work. Clients can meet by video, speak by phone, or use live chat and text-based messaging for ongoing support and check-ins. These options help make regular sessions more accessible around work, family, and daily routines while allowing licensed professionals to deliver consistent care and skill-building from a distance.

Ready to start therapy with Sara Nielsen?

Take the first step toward a better you.