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Sarah Ross

Sarah Ross, LMHC

Washington

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LMHC - Relationships and Guilt work

  • CBT approaches
  • Mindfulness practice
  • Gottman skills

About Sarah

Sarah Ross is a Washington LMHC with 27 years of clinical experience. She has worked in community mental health, drug court collaborations, grief services, and marital counseling centers. She supports people facing stress, anxiety, depression, relationships and family concerns, grief and loss, parenting challenges, and guilt and shame.

Sarah draws on many roles she has held, including clinical supervisor, clinic director, and certified thanatologist for grief and loss. That background informs practical help for people coping with major life changes, workplace strain, and compassion fatigue. She has also worked with adults who grew up with alcoholic parents and the self-esteem struggles that can follow.

Her style is interactive and direct. She listens for patterns and helps people notice blind spots that get in the way of decisions and relationships. She prepares clients for the fact that change takes sustained work and a shared commitment between client and counselor.

Therapeutic methods she uses include client-centered techniques, cognitive behavioral approaches, psychodynamic ideas, mindfulness, and elements of the Gottman Method for relationship work. In sessions she alternates between coaching, skill teaching, and reflective conversation depending on what a person needs.

People can expect clear, practical steps to try between sessions and regular check-ins on whether an approach is helpful. To begin, she asks prospective clients to complete a short questionnaire and schedule an initial session so the two can determine fit and goals together.

How her approaches translate to online work

Client-Centered Therapy focuses on listening and reflecting so a person feels understood and can explore what matters most; online sessions use that same conversational stance to clarify goals and values. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions and offers practical exercises to test new ways of thinking; this approach works well for anxiety, depression, and guilt by giving concrete skills to practice.

Finding the right approach is part of the work together. The therapist will discuss options and decide collaboratively which methods fit a person's goals, needs, and preferences. Sessions may mix coaching, skill training, mindfulness practice, and reflective conversation so the plan adjusts over time.

The original biography does not list specific online formats, so confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy life by reducing travel time, allowing shorter check-ins when needed, or letting someone use video or phone based on what feels practical that day. Licensed professionals can adapt exercises, homework, and communication to work well across different session arrangements.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemDepression

Also works with

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Gottman MethodMindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

27+ years

Listed in

Washington

Languages

English

Frequently asked questions

What kinds of issues does she focus on?

She works with stress, anxiety, depression, relationship and family concerns, grief and loss, parenting, career challenges, and guilt and shame.

How would she approach feelings of shame or guilt?

She uses interactive conversation and practical exercises to help people notice patterns and try different ways of thinking and behaving. Cognitive behavioral and mindfulness tools are often part of this work.

What is her professional background?

She has 27 years of experience and has worked in community mental health, drug court collaborations, grief services, and marital counseling settings.

What credential does she hold and where is she based?

She is a Washington LMHC and practices in Washington state.

Can sessions be conducted in other languages or for international clients?

Sessions are offered in English and she is not accepting international clients at this time.

What formats are offered for sessions?

The biography does not list specific session formats. Please confirm current session options before booking.

How does billing and cost work?

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.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Sarah RossLMHC

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