pivot practice

Counseling and Therapeutic Services

Trauma-informed therapy, addiction/recovery support, and mental health counseling in Southeast ID.

~Now accepting new clients~

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Hi, I’m Sarah

I help people come back to themselves, especially when life feels heavy, messy, or off-track. With a background in clinical social work and a heart for real connection, I’m here for the honest conversations, the growth that isn’t pretty, and the kind of healing that actually sticks.

Counseling, therapy, Pocatello, ID, now accepting new clients

My Practice

I work best with individuals who are high-functioning, insightful, and tired of repeating the same cycles.

This process is not about collecting more insight or finding better coping strategies. It’s about understanding what’s driving your reactions, and actively working to shift those patterns in a meaningful, lasting way.

My approach is direct, collaborative, and grounded in both honesty and compassion. Because real change requires both.

Together, we focus on creating practical, sustainable shifts so you can move through life with more clarity, intention, and choice, learning to pivot again and again until new patterns take hold.

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For Parents

This work is for parents who want to support their child’s emotional development, not just manage behavior.

Children often express distress through anxiety, reactivity, withdrawal, or risk-taking. Rather than focusing only on outward behavior, we work to understand what’s underneath and build skills in emotional awareness, regulation, and self-trust.

My approach is best suited for families who value consistency, emotional growth, and an active role in the process. It’s an investment in your child’s ability to navigate stress, relationships, and life transitions with greater resilience and stability.

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For Couples

Couples work focuses on understanding the patterns driving conflict, disconnection, and miscommunication. Rather than repeating the same arguments, we work to identify what’s underneath and build new ways of responding, creating more clarity, stability, and connection in the relationship.

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Common Reasons Couples Seek Therapy

• Repeating the same arguments without resolution
• Feeling disconnected or emotionally distant
• Communication that escalates quickly or shuts down
• Difficulty navigating conflict, trust, or boundaries
• Life transitions creating strain on the relationship
• Wanting to strengthen an already solid relationship

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For Professionals

I provide consultation to behavioral health programs and organizations seeking to strengthen clinical structure, consistency, and quality of care.

My work focuses on developing sustainable systems that support clinicians, reduce burnout, and improve program cohesion. This may include curriculum development, group structure, documentation templates, and creating shared clinical language across teams.

This is a collaborative, practical process designed to improve both day-to-day functioning and long-term program integrity.

Learn More

Session Details

One-on-one sessions tailored to your goals. Exploring recurring patterns, building emotional regulation, and developing strategies for meaningful, lasting change in a consistent, collaborative safe space.

  • A brief virtual call to determine fit, discuss what you’re looking for, and answer questions. If another provider or approach would better support your needs, I’ll help guide you in that direction.

    15 min

  • Tailored for teens, providing a safe, structured space to reflect, process, and develop coping skills. Sessions are concise yet meaningful, designed to help adolescents build emotional awareness and self-regulation.

    45 minutes

  • A standard focused session for exploring personal challenges, understanding patterns, and practicing actionable strategies that support lasting change.

    60 minutes

  • Extended sessions allow for deeper exploration, working with complex challenges, and dedicating space to integrate insight into practical, lived experience.

    90 minutes

  • Focused sessions to strengthen communication, resolve conflicts, and build connection. Sessions are collaborative, practical, and designed to help couples practice new ways of relating.

    60 minutes


    Extended sessions provide additional time for in-depth relational work, exploring patterns, and practicing strategies that translate into everyday life.

    90 minutes – $195 per couple

  • In small process groups, high-functioning adults explore recurring patterns, relationship dynamics, and real-time strategies for change in a supportive, interactive space.

Fit & Process

A strong therapeutic fit matters. If the work is not progressing as expected or another approach may be more effective, I will address this directly and work with you to identify a more appropriate next step.

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Let’s connect!

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Schedule a free 1:1 (15 min) virtual consultation.

Book Now

FAQ’s

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  • I’m a primarily private-pay practice, which allows for more flexibility and privacy, without restrictions from insurance companies (like session limits or required diagnoses). I currently accept some major insurance payers. Superbill offered for reimbursement. For more questions about insurance, please reach out.

  • Possibly! If you have out-of-network benefits, you may be able to get reimbursed for part of the session cost. I can provide a superbill upon request that you can submit to your insurance company.

  • My current rate varies per session type. Payment is due at the time of service. I accept cash, Venmo, Apple Pay, most major credit cards.

  • Most clients start with weekly sessions. Some people shift to every other week once things feel more stable or goals are being met. We’ll decide together based on what you need and what supports your progress.

  • Therapy looks different for everyone, and the length depends on your goals, history, and what you’re hoping to change.

    Some clients come for short-term support (around 6–12 sessions) to work through a specific issue. Others prefer longer-term therapy (several months or more), especially when working on deeper patterns, trauma, anxiety, or relationship concerns.

    We’ll check in regularly about your progress and adjust the plan as needed.

  • If you need to cancel or reschedule, please provide at least 24 hours notice. Appointments canceled with less than 24 hours notice may be charged the full session fee.

  • Yes. I offer secure telehealth sessions for clients located in Idaho. Telehealth can be a great option if you prefer to meet from home, have a busy schedule, or live outside the immediate area.

  • The first session is a chance for us to get to know each other and talk about what’s bringing you in. We’ll review relevant background, clarify goals, and make a plan for what you’d like therapy to help with.

  • The first step is to reach out through my calendar and schedule a consult. From there, we’ll schedule an intake appointment. I’ll send you paperwork to complete before we meet.