01 · Who Sara works with

Sara works with stress, Anxiety, grief and self esteem

Sara lists 5 specialisms and 21 further focus areas. Specialisms are the subjects Sara chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Sara's own words

What Sara says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a licensed professional counselor in Texas with 3 years of professional work experience, ready to work with you to build resilience, confidence, and a thriving future. Do you find it difficult to be present and enjoy the moment, as your thoughts never seem to turn off? Do you feel a lack of motivation while your memory and concentration are suffering? If you find yourself fearful of change, often procrastinating and avoiding, while feeling completely overwhelmed, I am here to help. I have experience helping clients with stress and anxiety, coping with grief and loss, motivation, life transitions, self-esteem, and confidence, & depression. Using evidence-based approaches to help connect your thoughts, emotions, and actions, we will cultivate tools and specific skills you need to support your growth and healing. I utilize a variety of techniques that help reduce vulnerability to stress, build emotional regulation, improve your mood, and build healthy relationships. Taking the first step toward healing and wellness is a brave and challenging act. I would love to walk alongside you, with encouragement and an open mind, to help you move out of survival mode and into a life worth living.

Sara Wall, on the BetterHelp listing · read 9 Oct 2026

03 · How Sara works

The 7 approaches Sara lists, in plain English

These are the clinical methods Sara lists. The descriptions are Maker Therapy's, not Sara's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Sara runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Sara practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Sara's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Sara at this point.

2. Naming Sara specifically

   BetterHelp matches algorithmically by default, so asking for Sara is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Sara.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

2 questions worth asking Sara

Built from what Sara actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Sara's - Sara has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Texas

Licence

TX LPC 85301

Licence number

85301

Licence expires

31 Aug 2028

NPI

1730888017

Years in practice

5

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Sara's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Sara. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.