Therapist listings are provided by BetterHelp. We earn a commission at no additional cost to you if you use our links to purchase.

Sarah Ritchea O'Connor

Sarah Ritchea O'Connor, LPC, LMHC

Therapist in Texas

Compassionate counselor focused on practical change

Continue with Sarah

Review online therapy options on BetterHelp.

  • Goal oriented
  • Open minded
  • Evidence informed

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 works with people facing stress and anxiety, trauma and abuse, depression, addictions, and issues around identity and intimacy. She also supports those coping with grief, parenting strain, sleep and eating concerns, and feelings of isolation or low self-esteem.

Sarah describes herself as open minded and practical. Sessions focus on clear goals and steady steps forward. She tailors conversations and plans to each person's situation. Expect straightforward talk, validation, and concrete strategies you can try between meetings.

Her background includes work with major depressive disorder, bipolar presentations, and some psychotic-spectrum experiences. In the past year she has increased work with LGBTQ+ people and with first responders and veterans. She also helps with caregiver stress, body image concerns, jealousy, and complicated grief.

Therapeutic methods include attachment-based approaches, client-centered care, cognitive behavioral techniques, dialectical behavior strategies, and existential work. Those tools are used to help people manage emotions, change unhelpful patterns, and clarify life priorities.

Sarah practices in Texas and adapts her style to each person's needs. She emphasizes respect, sensitivity, and compassion while keeping sessions focused on practical change. If someone wants a calm, direct counselor who combines skills and real-world problem solving, she may be a good match.

How therapeutic methods translate to online work

Attachment-based work focuses on how relationships shape feelings and safety. Online sessions can use this to look at current relationship patterns, build trust in relationships, and practice new ways of relating through conversation and reflection. Client-centered therapy centers the person and their experience, offering a steady, accepting space to talk through worries and decisions. This approach helps people feel heard and supported while they name goals and next steps. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and uses simple experiments to test new behaviors. Online sessions can include brief exercises and homework to try between meetings.

Finding the right approach is a collaborative process. The therapist will work with each person to identify which methods fit their goals and preferences. That may mean combining elements from different approaches and checking in regularly to see what is helping.

Please confirm current session options before booking, as formats are not specified here. Online therapy can make it easier to fit counseling into a busy life, allowing shorter check-ins or full sessions without commuting. It also makes it simpler to keep regular appointments around work, childcare, or irregular schedules. Licensed professionals can use the same therapeutic tools online that they use in person, focusing on practical skills, emotional processing, and planning next steps.

Areas of expertise

Primary focus

Stress, AnxietyFamily conflictsTrauma and abuseGriefDepression

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

Credentials

Texas, Washington

Languages

English

Frequently asked questions

What concerns does she help with?

She works with stress, anxiety, trauma and abuse, depression, addictions, relationship and intimacy issues, and jealousy among other concerns.

What is her approach in sessions?

Sessions are practical and person-centered, with goal setting and skills practice. She blends talk therapy with techniques to change unhelpful thoughts and behaviors.

How much clinical experience does she have?

She has ten years of professional counseling experience, including work with mood disorders and recent increased focus on LGBTQ+ clients and first responders.

What credentials and where does she practice?

She holds LPC and LMHC credentials and practices in Texas.

Which languages are supported for sessions?

Sessions are offered in English.

Does she work with international clients?

She does not accept international clients at this time.

How much do sessions cost?

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

How do I begin working with her?

Click the continue button on this profile, complete a short matching questionnaire, and schedule according to therapist availability.

Sarah Ritchea O'ConnorContinue with Sarah