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Sabrina Howell

Profile / United States

Sabrina Howell, LCMHC

North Carolina

LCMHC - Stress and Anxiety

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  • Cognitive Behavioral Therapy
  • Mindfulness Therapy
  • Trauma-focused work

About Sabrina

Sabrina Howell is an LCMHC practicing in North Carolina with 20 years of experience. She helps people struggling with stress, anxiety, relationship and family concerns, trauma and abuse, depression, grief, parenting challenges, self-esteem, bipolar disorder, coping with life changes, and ADHD. Sessions are conducted in English and international clients are accepted.

Sabrina uses a straightforward, collaborative style. She treats the relationship as a team effort where the client sets goals and she supports the process. Cognitive Behavioral Therapy (CBT) is one of her main approaches, and she also draws on client-centered and mindfulness methods to address thinking patterns, behavior, and day-to-day coping.

She has long experience working with trauma-related issues and uses trauma-focused approaches to work with people affected by traumatic events. Her background includes work related to attachment, abandonment, adoption and foster care topics, and issues that show up as emptiness, impulsivity, or self-harm. She also lists a range of mood and personality concerns among her focus areas.

Sabrina aims to make therapy practical. Sessions include noticing unhelpful thoughts, trying different responses, and building routines that support mood and relationships. She explains that counseling is voluntary and that clients decide whether to continue after the first session.

She typically replies to messages once per day Monday through Saturday, usually after 5:00 p.m. Eastern Standard Time. If it seems appropriate to refer someone elsewhere for ethical reasons, she will provide names of other professionals.

How her approaches translate to online sessions

Sabrina commonly uses Cognitive Behavioral Therapy to help people identify patterns of thinking that increase worry or low mood, then practice different ways of responding. Client-Centered Therapy is used alongside CBT to focus on the goals the client sets and to encourage honest, steady checking-in about progress. Mindfulness Therapy is used to teach attention and breathing practices that can reduce reactivity and improve moment-to-moment coping. These approaches are practical and oriented toward short, usable skills people can apply between sessions. Finding the right approach is collaborative. She will work with each person to decide which methods fit their goals and daily life, and she adjusts the plan as needed based on progress and feedback. The biography does not specify exact session formats, so confirm current online options before booking. In general, online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when time is limited, and remove travel time for appointments. Discussing preferences during the first meeting helps shape how sessions are scheduled and structured.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression

Also works with

GriefParenting issuesSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBody imageDisruptive Mood Dysregulation Disorder (DMDD)EmptinessImpulsivityIntellectual disabilityVeteran and Armed Forces IssuesMood disordersPersonality disordersSelf-harmYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

20+ years

Listed in

North Carolina

Languages

English

Frequently asked questions

What concerns does she commonly address?

Sabrina works with stress, anxiety, relationship and family issues, trauma and abuse, depression, grief, parenting, self-esteem, bipolar disorder, coping with life changes, and ADHD.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people notice unhelpful thoughts and habits, try alternative responses, and build daily strategies that reduce distress.

What is her professional experience?

She has 20 years of clinical experience working across a broad range of mood, trauma, and relationship concerns.

What are her credentials and where is she based?

She holds the LCMHC credential and practices in North Carolina.

Which languages are supported for sessions?

Sessions are offered in English and international clients are accepted.

What session formats are available?

The original biography does not list specific session formats; please confirm current session options before booking.

How are fees handled?

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

How do I begin working with her?

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

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 you are not safe, use the crisis numbers.

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Sabrina Howell

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