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Stress and Anxiety

Generalized Anxiety Disorder

Social Anxiety

General Life Stressors



Mood Disorders

Major Depressive Disorder


Relationship Concerns

Communication & Conflict


Unhealthy Relationship Patterns

Sexual Health Concerns

Premarital Counseling

Infidelity & Divorce


Personal Exploration and Concerns

Sexual Health


Childhood and Current Attachment

Personal Growth

Is Sarah accepting new clients?

Sarah Wagner, LMFTA

If you've ever sensed your invincibility waning, you may recognize the feelings of isolation, exhaustion, frustration, or helplessness that often accompany it. These emotions frequently stem from a common adversary: disconnection. Whether triggered by stress, conflict, infidelity, a diagnosis, or simply feeling "off," disconnection undermines our ability to navigate life's challenges and meet our needs. However, I firmly believe in the power of reconnecting—with ourselves and with our support systems. As human beings, we are inherently wired for connection.

As a Marriage and Family Therapist, I delve into the intricacies of human relationships, drawing from our interconnected nature, human functioning, and fundamental needs. My aim is to equip you with the tools to not only adapt to the future but also heal from the past. Being human isn't always straightforward, yet I am passionate about guiding you towards a deeper understanding of yourself and your human needs. This understanding is crucial for creating fulfilling lives and relationships that bring joy. My practice offers a warm and empathetic environment where we can navigate life's challenges together and reconnect with the world and those around us.

I provide telehealth therapy to individual clients and couples ages 18 and up.

Initial Intake

The intake session is our first meeting. We will thoroughly discuss your history, concerns, symptoms, and goals for therapy. We will also work towards determining goodness of fit. Sometimes it takes a few sessions to determine if we will work well together. I encourage you to research other therapists and find the best provider to fit your needs. As we work together past the intake session, we will continue to explore your experiences, address symptoms, develop strategies, and set new goals as needed. The intake session is 60 minutes.

Fee:  $165

Therapy Sessions

Short term and long term treatment is available depending on your therapy goals. Typically, sessions are weekly or bi-weekly at the start of treatment. As you make progress and get closer to your goals, the frequency of sessions can be reduced. Some clients prefer to continue frequent sessions to maintain their progress and address new issues or stressors. Others choose to return to therapy for monthly sessions or as needed. Sessions are 55 to 60 minutes. Most insurance plans cover unlimited sessions per year. Check with your insurance carrier for any limitations and your out of pocket cost.  

Fee:  $145

Accepted Insurance Plans:
  • Regence BlueShield and Uniform plans
  • Premera
  • Private Pay
*Billing is submitted with Jennifer Koch, Psy.D. as primary provider. Sarah is an associate therapist under direct supervision w/ Dr. Koch. This is referred to as "incident to" billing and is authorized with insurance plans.
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