Sarah Duncan
Compassionate practical therapy for life transitions
LCSW Texas
- Experience
- 9 years in practice
- Focus areas
- Stress, Anxiety, Addictions, Trauma and abuse
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Sarah
Sarah Duncan is a licensed clinical social worker with nine years of clinical experience helping people navigate stress, anxiety, depression, relationship and family conflicts, and addiction-related concerns.
Background and approach
She brings a practical, client-focused approach that emphasizes open dialogue and emotional honesty while also attending to life transitions, intimacy issues, self-esteem, career questions, and mood-related conditions such as bipolar disorder and seasonal affective disorder. She also offers help around caregiver stress, aging and geriatric issues, and financial wellness through financial therapy.
Her practice centers on collaborative work where clients can explore feelings and examine patterns without judgement. Sarah combines evidence-informed techniques like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and client-centered methods with mindfulness and narrative practices to help people build skills, clarify values, and create meaningful change.
She welcomes those grappling with trauma, addiction, compassion fatigue, or questions of purpose, and she emphasizes steady, practical steps toward improved coping and self-compassion. Sarah holds LCSW licensure in Texas and Tennessee (TX LCSW 68968, TN LCSW 6994) and provides services in English from her Texas practice.
She recognizes that starting therapy takes courage and works to make the first steps accessible and supportive for each person.
Practical approaches for online therapy and skill-building
Sarah frequently integrates Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in her online work. CBT focuses on identifying and shifting unhelpful thinking and behavior patterns to reduce symptoms of anxiety, depression, and stress, often through structured exercises and skill practice. ACT emphasizes clarifying personal values and building psychological flexibility so clients can move toward meaningful goals even when difficult thoughts or feelings arise. Both approaches lend themselves to goal-oriented online sessions where skills can be practiced between meetings.Finding the right approach is part of the therapeutic process and Sarah treats it as a collaborative decision. She works with clients to identify which methods align with their needs, goals, and preferences, and adapts interventions over time based on what is most helpful for the individual.
Online therapy here is offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These formats make it easier to maintain continuity of care while balancing work, caregiving, or other commitments, and they allow clients to engage in practical skill-building and reflective work from locations that fit their lives.
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Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Licensed
Texas, Tennessee
Languages
English