Sarah Ritchea O'Connor, LPC, LMHC

Sarah Ritchea O'Connor helps people facing stress, anxiety, trauma, depression, and relationship or intimacy concerns. She works with issues such as grief, addictions, body image, ADHD, and challenges related to LGBT identity and veteran or armed forces experiences. Sarah communicates plainly and aims to make the first step feel manageable for someone who is worried or uncertain.

She is a Licensed Professional Counselor, LPC, and also holds the Licensed Mental Health Counselor credential, LMHC. Sarah has practiced for 10 years and is licensed in Texas. Her background includes work with eating disorders, bipolar and some psychotic-spectrum conditions, and recent focused experience with LGBTQ+ clients.

Sarah uses a collaborative, down-to-earth style. Sessions focus on what matters to the person in front of her. She listens first, then helps clarify goals and builds a plan that fits daily life. Conversations may include practical skills, emotion regulation, and ways to change unhelpful thinking.

Her approach draws on several therapeutic methods. She integrates attachment-based ideas to look at relationship patterns, client-centered techniques to keep the work grounded in the client's priorities, and cognitive behavioral strategies for changing thoughts and behaviors. She also uses tools from dialectical behavior therapy and existential therapy when those fit the situation.

She aims to treat people with respect, sensitivity, and compassion. To begin, a person selects the Start Therapy button, completes a short matching questionnaire, and schedules according to availability.

Therapeutic approaches and online care

Sarah frequently uses client-centered work to keep sessions focused on the person's priorities and values. This approach centers the client's experience and helps shape goals that feel meaningful. She also draws on cognitive behavioral therapy, which looks at how thoughts and actions influence mood and teaches practical strategies to shift unhelpful patterns.

Finding the right approach is part of the process. The therapist will work together with each person to decide which methods fit their needs, goals, and preferences. That collaborative process can include trying different tools and checking in on what helps.

If you are considering online therapy, confirm the specific session options before booking since formats were not listed in the biography. Online work can make it easier to fit appointments into a busy day, reduce travel time, and allow for brief check-ins when a full in-person visit would be difficult. It also gives flexibility for people juggling caregiving, work shifts, or service-related schedules. Licensed professionals can adapt client-centered and cognitive behavioral techniques to an online setting, helping people practice skills between sessions and track progress over time.