Sarah Ritchea O'Connor

Sarah Ritchea O'Connor is a Licensed Professional Counselor, LPC, and a Licensed Mental Health Counselor, LMHC, with ten years of clinical experience. She works with people facing stress, anxiety, depression, trauma and abuse, and concerns such as eating issues, bipolar mood concerns, and ADHD. She also supports those dealing with grief, relationship and intimacy questions, and caregiver stress.

Sarah aims for a straightforward, respectful approach in sessions. She listens first and tailors the conversation to each person. She focuses on helping clients build practical skills and clearer ways of thinking that fit daily life.

Her work blends a few complementary methods. She draws on attachment ideas to look at relationship patterns. Cognitive Behavioral Therapy, or CBT, is used to spot unhelpful thoughts and test new behaviors. Mindfulness and elements of Dialectical Behavior Therapy help with emotion regulation and staying present.

Over the past year she has increased work with LGBTQ+ people and continues to support people across many backgrounds and cultures. She says she treats everyone with respect, sensitivity, and compassion, and adapts treatment plans to individual needs.

Sarah is licensed in Texas and Washington State and brings a decade of direct counseling experience. People who choose her can expect a practical, person-centered process that focuses on manageable steps toward clearer goals.

How therapeutic approaches work in online care

Attachment-Based Therapy looks at how early and current relationship patterns shape feelings and behavior. Online sessions can use this approach to notice interaction styles and practice different ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress; it often uses homework and short between-session tasks that fit well with online work. Dialectical Behavior Therapy, DBT, emphasizes emotion regulation, distress tolerance, and practical skills for handling intense feelings, which can be taught and practiced in remote appointments.

Finding the right approach is a collaborative process. The therapist will work with each person to choose methods that match their goals, needs, and personal style. That choice can change as goals evolve and new challenges appear.

Confirm current session options before booking to understand which formats are offered. Many people find online sessions easier to fit into busy days, let them schedule shorter check-ins when needed, or avoid travel time. Online work also makes it simple to use written exercises, screen-shared worksheets, and guided practice between meetings to support progress.