Profile / United States
Sarah Duncan, LCSW
Texas
LCSW - Stress and relationship work
See online therapy options- CBT tools
- ACT methods
- Financial therapy
About Sarah
Sarah Duncan is an LCSW licensed in Texas and Tennessee with nine years of clinical experience. She helps people who are dealing with stress, anxiety, depression, relationship and family concerns, and the strain of life changes. She also works with addiction issues and offers support around financial and career worries.
Sarah uses straightforward talk and practical tools in sessions. She draws on Cognitive Behavioral Therapy to notice unhelpful thoughts and behaviors and try different responses. She also uses Acceptance and Commitment Therapy, client-centered listening, mindfulness practices, and narrative techniques when those approaches fit a person's goals.
Sessions tend to focus on what a person wants to change and on small doable steps to get there. Sarah often breaks problems down into clear patterns of thinking and action. She pairs skill practice with gentle reflection so people can test new habits between meetings.
Her additional focus areas include caregiver stress, aging and geriatric issues, codependency, divorce and separation, mood disorders including bipolar and seasonal affective disorder, and post-traumatic stress. She also helps with life-purpose questions, money and financial issues, and rebuilding self-esteem after trauma.
Sarah works in English and practices in Texas. To begin, people follow the site steps to complete a short matching questionnaire and schedule a first session. The practice uses a subscription model that can be canceled at any time.
How cognitive and acceptance-based methods translate to online sessions
Online sessions can deliver practical CBT and ACT work in a way that fits daily life. CBT focuses on spotting patterns in thoughts and behaviors, testing short exercises, and practicing new skills between meetings. That approach helps with anxiety, depression, mood disorders, and stress by breaking problems into concrete steps.Acceptance and Commitment Therapy (ACT) helps people notice unhelpful control attempts and clarify values-driven actions. It combines simple mindfulness practices with committed actions that move a person toward what matters. Client-centered principles mean the therapist listens and responds to the concerns the person brings, shaping the pace and focus together.
Finding the right mix of methods is part of the process. The therapist will work collaboratively to match approaches to the client's goals and preferences, adjusting methods as progress is made. That makes sessions feel practical and goal-oriented rather than one-size-fits-all.
Session formats are not listed in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and remove travel time. These practical benefits often help people keep momentum while trying new habits and coping strategies.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
Texas, Tennessee
Languages
English
Frequently asked questions
What kinds of problems does she help with most often?
She commonly works with stress, anxiety, depression, relationship and family concerns, addictions, and coping with life changes.
How does she use Cognitive Behavioral Therapy in sessions?
She uses CBT to identify unhelpful thoughts and behaviors and to try practical alternative responses through short experiments and skill practice.
What is her clinical background and experience?
She is an LCSW with nine years of professional therapy experience working in clinical settings and private practice.
Where is she licensed and based?
She holds LCSW licenses in Texas and Tennessee and is located in Texas.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are fees handled for sessions?
Costs vary by location and the practice uses a subscription that can be canceled at any time.
What are the first steps to begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and then schedule your 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.