Sarah Fulfer is a licensed professional counselor in Texas who helps people manage stress, anxiety, depression, trauma, and the struggles of parenting and life transitions.
01About Sarah
Sarah Fulfer is a licensed professional counselor in Texas who helps people manage stress, anxiety, depression, trauma, and the struggles of parenting and life transitions. She speaks plainly and focuses on practical steps people can take to feel steadier day to day. Her work combines Christian-informed, client-centered care with cognitive behavioral ideas when that fits the client’s goals.
Sarah has practiced since 2019 in hospitals, community agencies, and a local church.
Background and approach
That mix of settings shaped a flexible approach that values the mind, body, and spirit. She pays attention to how a person’s beliefs, thoughts, and actions interact and looks for small changes that make a real difference. In sessions she helps people spot unhelpful thinking and test new behaviors.
Conversations are aimed at identifying feelings, reducing harmful patterns, and building coping skills. She supports people who are dealing with grief, miscarriage, self-esteem concerns, dissociation, and issues tied to adoption and foster care. Sarah also addresses relationship-related struggles such as communication problems, jealousy, codependency, commitment issues, and divorce or separation.
She helps people facing work and life stress, first responder issues, money worries, and questions about life purpose. Clients can request that faith not be part of therapy, and she will respect that preference. Her style is practical and respectful, focusing on goals clients set and steps they can try between sessions.
02Credentials
- LPC (Texas)
- License 83198 · expires June 2027
- NPI
- 1275408163 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Sarah lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Parenting issues
- Depression
- Coping with life changes
- Adoption and foster care
- Body image
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dissociation
- Divorce and separation
- First responder issues
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Life purpose
- Money and financial issues
- Panic disorder and panic attacks
- Post-traumatic stress
- Self-love
- Sexual assault and abuse
- Workplace issues
- Young adult issues
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04Online support
Approaches that guide online sessions
Sarah blends client-centered care with cognitive behavioral ideas and a holistic focus on mind, body, and spirit. Client-centered care means the conversation centers on the person’s values and choices, and the therapist follows the client’s lead to set goals. Cognitive behavioral ideas involve noticing unhelpful thoughts, testing new ways of thinking, and practicing different behaviors to reduce anxiety or depression.These approaches are explained and tried together. The therapist will work collaboratively to find which mix fits a person’s needs and goals. Together they will review what helps, make small adjustments, and decide whether to lean more on practical skills or values-based discussion as therapy continues.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging, giving flexibility for busy schedules. Video is useful for in-depth conversation and nonverbal cues, phone works well when bandwidth is limited, and text or live chat suit shorter check-ins or when writing helps process thoughts. These options make it easier to fit therapy into work, parenting, or day-to-day life while keeping focus on the goals clients set.
05Questions people ask
What concerns does she help with?
She supports people facing stress, anxiety, depression, trauma and abuse, parenting challenges, and coping with life changes. Additional focus areas include adoption and foster care, body image, and grief.
What is her therapy style like?
Her style is client-centered and practical, mixing Christian-informed perspectives with cognitive behavioral ideas when helpful. Sessions focus on changing unhelpful thoughts and testing new behaviors.
What experience does she bring?
She has worked in counseling since 2019 across hospitals, community agencies, and a local church, which shaped a flexible, holistic approach. That background informs how she helps people set and reach goals.
What credentials and location are listed?
She is a licensed professional counselor, LPC, in Texas. Her practice is based in the state of Texas.
Which languages are supported?
Sessions are offered in English.
What session formats are available?
Sessions can take place by video calls, phone sessions, live chat, or text-based messaging depending on client preference. These options provide several ways to connect for different needs.
How does payment and cost work?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up process.
How do I begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability. The questionnaire helps match your needs and preferences.
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