Sabrina Howell, LCMHC

Sabrina Howell is a licensed clinical mental health counselor (LCMHC) based in North Carolina. She brings 20 years of experience to sessions and focuses on practical ways to relieve anxiety, manage mood concerns, and cope with life changes. Sabrina centers the client's priorities and helps people set clear goals for therapy.

Sabrina uses cognitive behavioral therapy (CBT) along with client-centered and mindfulness approaches to guide work in session. She looks at problems from several angles - feelings, thoughts, behavior, relationships, and daily routines - so challenges are addressed in real life. Therapy conversations are collaborative and goal driven, with exercises a person can try between meetings.

Her background includes long-term clinical practice helping people navigate stress, depression, grief, bipolar and mood disorders, trauma and abuse, relationship and family concerns, parenting strain, and ADHD-related struggles. She also supports work on self-esteem, body image, impulsivity, and issues connected to adoption, attachment, or abandonment.

Sabrina makes room to discuss how symptoms show up day to day, such as panic, low mood, or difficulty making decisions. She explains options, offers coping skills, and adjusts the plan as progress is made. If a different course of care would better meet a person's needs, she will suggest referrals and provide names of other professionals.

Messages are typically answered once per day Monday through Saturday, usually after 5:00 p.m. Eastern time. Therapy sessions use a subscription model that can be canceled at any time.

CBT, Mindfulness, and Collaborative Care Online

CBT helps people notice unhelpful thoughts and test them against real-life evidence. It often involves short practical exercises and behavior changes that reduce anxiety and improve mood. Mindfulness therapy focuses on present-moment awareness and simple attention practices to lower reactivity and support emotional regulation.

Choosing the right approach is part of therapy. The therapist will work together with each person to identify goals, try methods, and adjust the plan based on what helps most. This collaborative process makes it easier to find techniques that fit a person’s life and priorities.

Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow full conversations and visual cues, phone sessions can fit a busy schedule or use less bandwidth, live chat works well for shorter check-ins, and messaging supports ongoing reflection between sessions. These options give flexibility so care can fit work, family, and daily routines.