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Sarah Duncan

Sarah Duncan

LCSW Texas

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Compassionate LCSW focused on practical change

  • Client-centered care
  • Practical coping skills
  • Financial focus

About Sarah

Sarah Duncan is a Licensed Clinical Social Worker (LCSW) with nine years of practice. She helps people manage stress, anxiety, depression, relationship and family concerns, and the strain that comes with major life changes. She also supports those facing addiction, bipolar mood shifts, and issues around intimacy and self-esteem.

She takes a straightforward, client-centered approach in sessions. That means conversations focus on each person's experience and priorities. Sarah aims to make the room feel open and nonjudgmental so thoughts and feelings can be voiced honestly.

Her work draws on several practical methods, including Acceptance and Commitment Therapy (ACT), cognitive behavioral techniques, mindfulness, narrative work, and Client-Centered Therapy. She blends these methods to match what a person needs in the moment rather than using a single fixed plan.

Sarah also brings a focus on money and caregiving stress when these are part of someone's challenges. She has experience addressing caregiver strain, aging and geriatric concerns, family-of-origin dynamics, codependency, and substance-related issues. Her background includes credentialing and practice in both Tennessee and Texas.

When someone starts therapy with her, sessions typically begin with listening and building goals together. She helps people identify practical next steps, coping tools, and small changes to try between visits. The aim is steady progress that fits into everyday life.

How therapeutic approaches shape online sessions

Client-Centered Therapy focuses on listening and following the client's lead. The therapist creates space for someone to describe what matters most and then helps shape goals from that starting point. Acceptance and Commitment Therapy (ACT) uses acceptance, values, and small committed actions to reduce the hold of painful thoughts and feelings and can help with anxiety, depression, and life changes. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and teaches concrete skills to change unhelpful habits and improve mood.

Choosing the right approach is a collaborative process. The therapist will work with the person to discuss what feels useful, try techniques, and adjust methods over time. Goals, personal preferences, and day-to-day needs guide which approaches get used in sessions.

The biography does not list specific online formats, so confirm session options before booking. In general, online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when needed. Some approaches, like CBT skills practice or ACT-based homework, adapt well to remote conversations and phone or video check-ins, while narrative or mindfulness work can also be guided through conversation and exercises. Ask about the therapist's current session formats when you schedule to find what will work best.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsIntimacy-related issuesSelf esteemCareer difficultiesBipolar disorderCompassion fatigue

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

9+ years

Listed in

Texas, Tennessee

Languages

English

Frequently asked questions

What concerns does this therapist commonly help with?

She supports people facing stress, anxiety, depression, addiction, trauma and abuse, relationship and family issues, intimacy and self-esteem struggles, and coping with life changes.

How would you describe her therapy style?

She uses a client-centered style that prioritizes the person's goals and experience. Sessions focus on listening first and then building practical steps together.

What is her clinical background?

She has nine years of professional therapy experience and practices approaches such as Acceptance and Commitment Therapy, cognitive behavioral techniques, mindfulness, narrative methods, and Client-Centered Therapy.

What credentials and location information are provided?

She holds LCSW credentials and is licensed in Texas and Tennessee. Her listed location is Texas.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are available?

The original biography does not specify session formats. Please confirm current session options when booking.

How is cost handled for sessions?

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

What are the first steps to start working together?

Use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.

Sarah Duncan

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