Online Counseling
Accepts International Clients

LCSW Sarah Axley

Provides online counseling through BetterHelp

Mental health conditions are real, common and treatable.

And recovery is possible.

Sarah Axley is an experienced, licensed Medical Health Professional who specializes in affordable online therapy.

More about me

Licensing: LCSW
Years in Practice: 12
State: VA


First of all, take a second and give yourself a ton of praise for recognizing that you are having difficulties and reaching out for help! You have already conquered one of the most difficult steps in the process!

So a little about me…My name is Sarah Axley and I am a Licensed Clinical Social Worker. I obtained my education at Virginia Commonwealth University in psychology and social work. In addition to my Master's Degree in Social Work, I also completed a Post Baccalaureate Certificate in Aging Studies with VCU’s Department of Gerontology. I have provided psychotherapy since 2009 in an outpatient mental health clinic, an intensive community-based setting and now in a hospital, where I am currently employed full time. I obtained my License in Clinical Social Work in 2012 while doing my clinical work in an outpatient mental health service where I worked with individuals of all ages, backgrounds and with various diagnosis, to include Depressive Disorders, Bipolar Spectrum Disorders, Anxiety Disorders, Trauma Related Disorders, Substance Use Disorders, Schizophrenia Spectrum Disorders and Autism Spectrum Disorders. I am considered to be an LGBTQ+ informed psychotherapist. I have experience working with clients dealing with grief/loss. I have also provided psychotherapy services to help clients better manage stressors due to COVID and the current social and political climate. I believe that the therapeutic relationship is a collaborative one. Whether it is to process/gain insight, to build on skills to manage symptoms, to change thinking patterns to better serve you, to improve communication, etc., we can work together to help you to better understand yourself and to help achieve your goals. I use a combination of evidence-based therapeutic approaches (cognitive behavioral therapy, motivational enhancement therapy, mindfulness training, etc.), based on your needs and preferences. I operate from a strength’s perspective. You are more resilient than you realize. With the right and knowledge and tools, you can manage anything! I see clients Monday and Wednesday evenings and Saturday late morning/afternoons. In between sessions, you will likely be completing tasks to help you work to achieve your goals. That is where a lot of the work happens!

If I sound like I could be a good fit for you and what you’re looking for in a psychotherapist, let’s do this!

Warm regards and well wishes,

Sarah Axley, LCSW

About online counseling

Online counseling allows you to receive care from an online mental health practitioner via phone, video chat, or instant messaging. It is convenient for those who may have trouble getting to or would prefer not to have in-person therapy appointments. Ranging from $35 to $80 per week, online counseling is generally more affordable than in-person counseling. A study by researchers at University of California, Berkeley found that online counseling can be just as effective as face-to-face therapy while being more convenient, affordable, and accessible.

Try online counseling with Sarah Axley

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Stress Anxiety Addictions Grief Self esteem Depression LGBT Relationship issues Family conflicts Trauma and abuse Sleeping disorders Parenting issues Anger management Bipolar disorder Coping with life changes
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Reviews for Sarah Axley

Overall Rating

5 Reviews
Rate Sarah How was your experience?


She’s a great therapist

D.Y.·Jul 01, 2022


Sarah is a very special therapist who not only listens but gives you suggestions on how to obtain a good result to your issues. She has responded to me outside or normal meeting times when I was in crisis. Sarah is never judgemental. She is totally engaged with you during the session and I believes actually cares about me as a person. I could not hope for a better therapist. She's helped me in a real roller coaster of a problem and never leaves me hanging. Best of the best.

A.M.·Jun 09, 2022


Sarah is a phenomenal therapist. She is calming and makes me feel heard at all times. I appreciate her so much. While therapy can be hard, she makes me feel better and I have seen significant changes in myself and my behaviors because of her expertise.

A.S.·Mar 11, 2022


Sarah keeps up with and understands my multiple concerns/ problems. She offers some suggestions and acknowledges that I am trying but I have a lot on my plate. She is calming and caring. I feel a good connection with her.

A.M.·Jan 21, 2022


Sarah has already helped me understand more about myself in just the short time of us talking. I look forward to growing as we unravel the mysteries of me.

A.N.·Jan 07, 2022


Sarah Axley offers counseling online via BetterHelp

  • Affordable: Pay a low flat fee for unlimited counseling.
  • Convenient: Do it at your own time and at your own pace. Communicate as often as you want and whenever you feel it's needed.
  • Available Now: There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.