Sarah Duncan, LCSW

Sarah Duncan is a licensed clinical social worker with nine years of experience helping people navigate stress, anxiety, depression, relationship and family concerns. She also supports people facing life changes and those dealing with addictions or compassion fatigue. Sarah works with clients who want practical ways to feel steadier and more connected.

Sarah creates an open, nonjudgmental space where feelings and thoughts can be talked through. She emphasizes honest conversation and practical steps people can use between sessions. Financial concerns and career strain are part of the life stressors she addresses when they come up.

Her approach blends several methods to match each person's needs. She uses Acceptance and Commitment Therapy (ACT) to help people notice their values and take small actions. Cognitive Behavioral Therapy (CBT) is used to spot unhelpful thinking and try different behaviors. Client-centered work and narrative techniques help people tell their story and find new meaning.

Sarah is licensed as an LCSW in Texas and Tennessee and brings nine years of clinical work to sessions. She draws on that experience when helping with mood disorders, trauma-related concerns, and caregiver stress. Aging and geriatric issues are included among the additional focuses she addresses.

If you are ready to begin, Sarah encourages taking a first small step. She guides clients through practical goals and steady progress, one conversation at a time.

Therapeutic approaches and working online

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters most to a person and taking small, values-driven steps even when feelings are difficult. It can help with chronic anxiety, life transitions, and finding direction during midlife changes.

Cognitive Behavioral Therapy (CBT) helps people notice patterns of thinking that contribute to low mood or stress and then try different behaviors to test what works. This approach is often used for anxiety, depression, and mood management.

Client-centered work emphasizes listening, respect, and helping people shape their own goals. It supports people who need space to make sense of family conflict, relationship stress, or caregiving challenges.

Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and daily life to decide which methods fit best. That collaborative selection can change over time as needs shift.

Confirm the current session options before booking, as this profile does not list specific formats. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It can also support continuity of care for people managing caregiving duties or mobility challenges by making regular appointments simpler to schedule.