Sarah Larsen-Astrones, MD, LCPC, LIMHP

Licensed in Maryland · 13 years in practice

Sarah Larsen-Astrones uses practical, evidence-based therapeutic techniques to help people manage stress and anxiety.

License and registration

LCPC, Maryland: LC12190 · expires January 2027
LIMHP, Nebraska: 2315 · expires September 2026
NPI: 1821435702 · national provider identifier
Years in practice: 13
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Sarah

Sarah Larsen-Astrones uses practical, evidence-based therapeutic techniques to help people manage stress and anxiety. She is Sarah Larsen-Astrones, MD, and she brings 13 years of clinical experience to her work in Maryland. She speaks plainly and focuses on clear goals rather than jargon.

She helps people who struggle with low self-esteem, life transitions, and problems with focus and concentration. Common concerns she addresses include panic attacks, social anxiety, and the everyday fallout from major life changes.

Background and approach

Her practice also supports people dealing with abandonment, attachment, communication, guilt, shame, and issues around money or purpose. Sarah has experience supervising counseling interns and teaching continuing-education courses at colleges and universities. That background shapes a practical approach that blends clinical knowledge with straightforward coaching.

She uses methods that aim to improve coping skills and day-to-day functioning. In sessions she aims to build an open, nonjudgmental space where clients can talk through difficult thoughts and feelings. Conversations focus on what the person wants to change and on small, doable steps toward those goals.

Progress is tracked with clear, practical strategies rather than vague promises. Therapy is offered through a mix of formats to fit different needs, including video, phone, live chat, and text messaging. Sarah works in English and practices as an MD, Licensed Clinical Professional Counselor - LCPC, and Licensed Independent Mental Health Practitioner - LIMHP in Maryland.

Focus areas and approaches

Everything Sarah lists on their public professional profile, in their own terms.

Online support

How evidence-based methods work online

Sarah uses evidence-based therapeutic techniques to address stress, anxiety, and problems with focus. One common approach is behavioral strategies that teach concrete coping skills for panic, anxiety, and daily stressors. These techniques focus on practice and step-by-step skills clients can use between sessions. Another common approach emphasizes attention and organization strategies for people who struggle with concentration and ADHD-related issues. That work centers on routines, manageable goals, and simple changes to reduce overwhelm and improve focus.

Finding the right approach is a collaborative process. The therapist will discuss your goals and preferences, try methods that fit your situation, and adjust plans based on what helps. Clients and the therapist decide together which techniques to keep and which to change as progress is made.

Online therapy offers flexibility for people with busy lives. Video calls allow face-to-face conversation when a deeper check-in is needed. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text-based messaging make it possible to send updates, ask quick questions, or work through ideas between scheduled meetings. These options help therapy fit around work, childcare, or other commitments while keeping focus on practical, evidence-based work.

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Questions people ask

What kinds of concerns can I bring to sessions?

She works with stress, anxiety, self-esteem, coping with life changes, and ADHD-related concentration concerns, plus related issues like panic, isolation, and relationship communication problems.

What is her therapeutic style like?

She uses practical, evidence-based therapeutic techniques and focuses on clear goals and coping skills. Sessions emphasize straightforward strategies clients can use between meetings.

How much experience does she have?

She has 13 years of professional experience, including supervising counseling interns and providing continuing-education instruction at colleges and universities.

What credentials and location are listed?

She holds MD, Licensed Clinical Professional Counselor (LCPC), and Licensed Independent Mental Health Practitioner (LIMHP) credentials and practices in Maryland.

In which languages are sessions offered?

Sessions are offered in English. International clients are not currently accepted.

Which session formats are available?

Therapy is available by video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.

How does billing and cost work?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

How do I begin therapy with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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