Anna Sage, LPC, LMHC

Anna Sage is a licensed professional counselor (LPC) and licensed mental health counselor (LMHC) based in Washington. She focuses on helping people who feel overwhelmed by stress, anxiety, addiction, grief, family conflict, or ADHD. Her style is straightforward and practical, and she aims to make first steps feel manageable for worried parents and busy adults.

Anna draws on Cognitive Behavioral Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy to shape sessions. She uses these approaches to help people spot unhelpful thinking, practice new skills, and build steady routines. Sessions are conversational and goal-oriented, with techniques explained in plain language.

Before becoming a counselor she worked as a peer specialist, which shaped how she listens and offers practical support. She has four years of clinical practice as an LPC and LMHC in Washington and has worked with adults facing substance use and mood concerns.

Typical sessions involve identifying immediate concerns, trying small behavioral changes, and reviewing what worked between meetings. She also supports people coping with hoarding, end-of-life and hospice issues, postpartum depression, and seasonal affective disorder when relevant.

Anna aims to reduce stigma around mental health and to help clients take clear, doable steps toward feeling better. The approach is collaborative - she and the client set priorities and check progress together.

Practical therapy approaches for online care

Anna uses Cognitive Behavioral Therapy to help people notice patterns of thinking that make problems worse and to test new ways of thinking and behaving. CBT can be useful for anxiety, mood concerns, ADHD challenges, and stress by breaking goals into small, practical steps.

She also draws on Client-Centered Therapy, which emphasizes listening, acceptance, and helping the client find their own solutions. This approach helps people feel understood and guides them to make choices that fit their life.

Dialectical Behavior Therapy adds concrete skills for managing intense emotions, improving distress tolerance, and handling strong urges related to addiction or crisis moments. DBT skills often include short exercises and step-by-step plans that can be practiced between sessions.

Finding the right approach is part of the work. She will collaborate with each person to pick methods that match their goals, needs, and preferences, and will adjust the plan as progress is reviewed. The process is a joint effort rather than a one-size-fits-all prescription.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to suit different practical needs. Video is helpful for a full conversation, phone works when bandwidth is limited, live chat or text can be used for shorter check-ins or when typing feels easier. These options make it easier to fit appointments around work, caregiving, or other commitments and to continue support from different locations.