About
- Stress and anxiety
- Financial therapy
- Acceptance and CBT
About Sarah
Sarah Duncan is a Licensed Clinical Social Worker (LCSW) licensed in Texas and Tennessee with nine years of clinical experience. She helps people who are dealing with stress, anxiety, depression, relationship and family concerns, and major life changes. She also offers financial therapy for those trying to sort out money and emotional patterns.
Her approach is straightforward and conversational. Sessions focus on what is happening now and on concrete steps to manage distress. She draws on acceptance and commitment work and cognitive behavioral tools to help people notice unhelpful patterns and try different responses.
Sarah uses client-centered and narrative techniques to listen to each person’s story and to reorganize that story in useful ways. Mindfulness exercises are introduced when helpful to reduce reactivity and increase awareness of choices in stressful moments.
She often works with people facing caregiver stress, midlife transitions, mood disorders, addiction concerns, and family of origin issues. Practical topics such as money and career stress are part of the conversation when these affect emotional health.
In sessions she helps clients set short, doable goals and test changes between meetings. The focus is on small, sustainable shifts rather than quick fixes. People who want clear tools and a thoughtful listener may find this approach helpful.
How sessions work
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing hard thoughts and feelings and choosing behaviors that reflect personal values. It can help when anxiety, depression, or life transitions make decision-making feel stuck. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and teaches practical skills to test and change unhelpful patterns. It is often used for anxiety, mood concerns, and repetitive worries.Finding the right approach is a collaborative process. The therapist will work with each person to identify which methods fit their situation and goals, and will adjust techniques as needs change. Sessions tend to combine listening, skill practice, and short homework between meetings so progress is practical and measurable.
Confirm the current online session options before booking so you know what formats are supported. Online work can make it easier to fit meetings into a busy home life, reduce travel time, or choose a check-in that is shorter when schedules are tight. The emphasis is on making therapy usable day to day while matching methods to each person’s goals.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Texas, Tennessee
Languages
English
Questions
Frequently asked questions
What kinds of family or parenting concerns does she address?
She helps people work through family conflict, intimacy-related issues, and the strain of caregiving. Financial issues that affect family life are also part of her work.
What is her therapeutic style like?
Her style is conversational and practical. She uses client-centered listening alongside acceptance and cognitive behavioral techniques to set doable goals.
How much experience does she have with trauma and mood concerns?
She has nine years of professional therapy experience and lists trauma, post-traumatic stress, bipolar disorder, and mood disorders among her areas of work.
Where is she licensed and practicing from?
Sarah holds LCSW credentials in Texas and Tennessee and is based in Texas.
Can I see her if I live outside the United States?
Sessions are offered in English and she does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking so you know which formats are offered for scheduling and participation.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.