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Sarah Ritchea O'Connor

Therapist profile

Sarah Ritchea O'Connor, LPC, LMHC

Texas

Licensed counselor - Family and parenting focus

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About

  • Attachment based
  • CBT and DBT
  • Client centered

About Sarah

Sarah Ritchea O'Connor is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with ten years of clinical experience. She practices in Texas and has worked with people facing stress, anxiety, trauma and abuse, parenting concerns, grief, depression, addictions, and issues related to LGBT identity. She also addresses relationship and intimacy-related issues, eating and sleeping difficulties, ADHD, and caregiver stress.

Her approach is down-to-earth and conversational. Sessions focus on practical steps people can use at home. She listens for patterns shaped by relationships and life events, then helps clients test small changes. Cognitive techniques and mindfulness tools are used alongside talk to shift thoughts and behaviors.

Sarah draws on attachment-based ideas to look at how early and current relationships shape expectations and reactions. She uses client-centered methods to keep sessions focused on the person’s priorities. When needed she brings in CBT and DBT skills for emotion regulation, distress tolerance, and changing unhelpful thinking.

She has worked with people coping with serious mood disorders, eating disorders, and trauma. In the last year she has increased work with LGBTQ+ clients. Her background includes supporting first responders, caregivers, veterans, and people facing end-of-life and hospice concerns.

Sessions are practical and paced to fit everyday life. She aims to help people identify a few workable changes and practice them between appointments. To begin, clients complete a short matching questionnaire and schedule an initial session.

How sessions work

How her approaches translate to online work

Attachment-based work looks at patterns in close relationships and how they affect feelings and behavior. Online sessions can use conversation and focused questions to identify those patterns and try different ways of relating in everyday life. Client-centered therapy centers the person’s goals and pacing, letting the client set priorities while the therapist follows their lead and reflects what matters most.

Cognitive Behavioral Therapy (CBT) breaks big problems into thoughts, feelings, and actions. In sessions she helps clients test unhelpful thoughts, set small behavioral experiments, and practice skills between meetings. CBT is often used for anxiety, depression, and sleep or eating difficulties so that people can try changes between appointments.

Choosing the right mix of methods is part of the work. She will discuss options with clients and together decide what fits their goals and preferences. That collaborative decision can change over time as progress and needs become clearer.

The biography does not list specific session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a busy home life, allow shorter check-ins when needed, or avoid travel time. Licensed professionals using these approaches aim to keep sessions practical and applicable to day-to-day challenges.

Areas of focus

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Body imageCaregiver issues and stressCommunication problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMulticultural concernsObsessions, compulsions, and OCDPolyamory / non-monogamous relationshipsPost-traumatic stressSelf-harmSelf-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational Interviewing

Experience

10+ years

Listed in

Texas, Washington

Languages

English

Questions

Frequently asked questions

What kinds of family or parenting concerns does she address?

She helps people with parenting strain, communication problems at home, and caregiver stress. Parenting and family topics appear among her listed concerns.

How would she approach anxiety or stress?

She uses cognitive behavioral techniques and mindfulness tools to identify unhelpful thoughts and develop coping skills. Sessions include practical exercises to try between meetings.

What is her clinical background?

She has ten years of counseling experience and has worked with mood disorders, trauma, eating issues, and LGBT concerns. Her recent work includes more clients from the LGBTQ+ community.

What credentials does she hold and where does she practice?

She holds LPC and LMHC credentials and practices in Texas. The LPC is listed for Texas and the LMHC for Washington in her documentation.

Does she work in languages other than English?

Sessions are offered in English only.

What session formats are available?

Please confirm current session options before booking, as the biography does not list specific formats. The site matching process will show available formats.

How are fees handled?

Cost varies with location and sessions use a subscription model that can be canceled at any time. Exact fees are provided during the matching and scheduling steps.

How do I get started with her?

Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the system.

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.

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Sarah Ritchea O'Connor

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