Sara Nielsen


About Me

I am an LPC (licensed practicing counselor) in the State of Missouri and have been practicing for over 10 years. I have about 20 years of experience working in the field. I have worked with clients with a wide range of concerns including depression, anxiety, trauma, eating disorders, self-esteem, OCD, ADHD and many other concerns. I have worked in a wide variety of settings, including residential treatment, inpatient hospitalization, correctional settings, outpatient and online format as well. I specialize in working with people who have experienced trauma, have relationship issues with food, eating disorders and those who identify as LGBTQ. This is a safe space!

My counseling style is collaborative, interactive and guided by your needs. This is a safe space, where you will not find judgment. My approach combines cognitive-behavioral, acceptance commitment therapy, dialectical behavioral therapy, mindfulness based, strengths based and other styles of counseling. I will tailor to your needs and expressed wishes; we will together to determine your therapeutic needs.

I recognize the difficulty of seeking help and of creating change; I am here to help you every step of the way! I look forward to working with you!


  • Stress, Anxiety
  • LGBT
  • Trauma and abuse
  • Eating disorders
  • Depression
Also experienced in:
Addictions , Relationship issues , Family conflicts , Grief , Intimacy-related issues , Sleeping disorders , Anger management , Self esteem , Coping with life changes , Coaching , Compassion fatigue , ADHD , Body Image , Read more...

Clinical approaches:
Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, Psychodynamic Therapy, Solution-Focused Therapy, Trauma-Focused Therapy

Years of Experience: 14

Services Offered

  • Messaging

  • Live Chat

  • Phone

  • Video


LPC #2008025315 (Expires: 2021-06-01)

LCPC #2756 (Expires: 2021-09-01)


Written by C.A. on Jul 30, 2020 after counseling with Sara for 4 months on issues concerning bipolar disorder

Sara was so incredibly supportive, and some days the most down to earth / best person to talk to. She gave me amazing advice, and truly was so motivating in all the ways I didn’t even realize I needed. If I could have continued to work with her (boo moving) I would have in a heartbeat.

Written by J.U. on Jun 25, 2020 after counseling with Sara for 3 months on issues concerning depression, stress, anxiety, relationship issues, self esteem, anger management, and adhd

Sara was nice and addressed my concerns.

Written by K.A. on Mar 25, 2020 after counseling with Sara for 4 months on issues concerning stress, anxiety, family conflicts, self esteem, and coping with life changes

Great. Timely, understanding, offers a variety of coping skills.

Written by S.A. on Feb 07, 2020 after counseling with Sara for 2 months on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, self esteem, anger management, coping with life changes, compassion fatigue, and adhd

Thank you so much for all your support. It’s nice to have a place to work out all the thoughts going on in my head without judgment or feeling forced to process all at once.

Written by C.H. on Jan 29, 2020 after counseling with Sara for 2 weeks on issues concerning family conflicts, and trauma and abuse

Sara is really easy to talk to and understanding! As someone who has been pretty nervous in therapy in the past, I'm very glad that I was matched with her. I feel like she's already been helping me a lot. It's nice to know there's someone who cares about your perspective and truly gets it.

Written by N.A. on Dec 04, 2019 after counseling with Sara for 2 weeks on issues concerning trauma and abuse

She has been very helpful to me and I am very grateful for that !