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Sara Nielsen, LCMHC, LCPC

Collaborative counseling for meaningful change
  • Couples and individual support
  • Skills for anxiety stress
  • Mindfulness and values based

About Sara Nielsen

Sara Nielsen is a licensed counselor who practices in Alabama and brings 19 years of clinical experience to her work. She supports adults and couples navigating a wide range of concerns, including stress and anxiety, depression, trauma and abuse, eating-related challenges, OCD, addiction, relationship and family concerns, grief, life transitions, and more.

Her style is collaborative and interactive, with sessions guided by each client’s needs and goals. She aims to offer a nonjudgmental space where clients can speak openly and feel supported while working toward meaningful change.

Sara draws from several evidence-informed approaches, including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and mindfulness-based work, along with a strengths-based perspective. CBT focuses on noticing unhelpful thought and behavior patterns and practicing new coping skills, while ACT emphasizes making room for difficult thoughts and feelings while taking steps toward personal values. DBT and mindfulness skills can help with emotion regulation, distress tolerance, and staying grounded in the present. Sara tailors the process to what a client is asking for, and works alongside them to clarify priorities and shape a plan that fits.

Areas of Expertise

Primary Focus

Stress, AnxietyTrauma and abuseEating disordersDepressionCoping with life changes

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 providing therapy and supporting clients through a wide range of concerns.

Is Sara Nielsen a licensed therapist?

Yes. Sara Nielsen is licensed as an LCMHC and an LCPC. License details include NH LCMHC 3364 and 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?

You can work with Sara Nielsen through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and scheduling.

Does Sara Nielsen work with international clients?

No. Sara Nielsen does not currently work with international clients.

How much does therapy with Sara Nielsen cost?

The cost of therapy can vary based on factors such as your 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.

Blending Evidence-Based Tools With Online Flexibility

Sara Nielsen integrates practical, skills-based therapy with a collaborative style that adapts to what each client hopes to change. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns in thoughts, feelings, and behaviors, then practicing new strategies that can support mood, anxiety, and everyday coping. Acceptance and Commitment Therapy (ACT) helps clients relate differently to difficult internal experiences while taking steps toward what matters most, which can be especially helpful during stress, transitions, and ongoing emotional challenges. Mindfulness therapy emphasizes present-moment awareness and grounding skills that can strengthen emotion regulation and reduce reactivity.

Finding the right approach is part of the work. Sara partners with clients to clarify goals, understand preferences, and choose tools that fit the moment - whether that means structured skill-building, values-based action, or steadier day-to-day support. The process is meant to feel guided, responsive, and centered on what the client is asking for.

Online therapy offers multiple ways to connect, including video calls, phone sessions, live chat, and text-based messaging. This flexibility can make it easier to keep therapy consistent, fit sessions into a busy schedule, and access support from wherever a client is comfortable meeting.

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