Sarah Hirsch profile image

Sarah Hirsch

Sarah Hirsch

30 years of experience

Hello! My name is Sarah Hirsch and I'm a licensed psychotherapist (LPC) in Tennessee & Michigan. I've been working in behavioral health for over 30 years. I'm also a Duke Integrative Medicine Certified Health & Wellness Coach. I am intentional, considerate, and sensitive to the unique stories, and backgrounds of each client I connect with during the therapeutic process. We will work together collaboratively in a therapeutic partnership. I'll hold a space that is open and without judgment, encouraging the authenticity of your thoughts and feelings to identify effective individualized therapeutic solutions and tools that help foster greater insight, perspective, and ensure your success in making positive, transformational life changes. Therapeutic telehealth services are rendered from a whole-person perspective which honors the strengths and uniqueness of each individual's needs using an integrated, biopsychosocial approach that explores the psychological interconnections between mind, behavior, and health, to promote an increased quality of life and wellness in mind, body, and spirit. I look forward to meeting you!

What can clients expect to take away from sessions with you?

In the first session, we will spend time introducing ourselves, getting to know each other better to ensure there is good rapport, trust, and a high-level of therapeutic synergy. Listening and understanding the specific presenting issues, concerns, challenges, discuss mutual expectations for therapy, identify specific areas of focus for therapy, define possible obstacles, and discuss level of commitment to the therapeutic process, review proposed recommendations, and next steps.

Explain to clients what areas you feel are your biggest strengths.

My genuine compassion and care for each individual client, high-level emotional intelligence, longstanding professional licensure and clinical expertise, proven track record of positive clinical outcomes with clients.

About Sarah Hirsch

Identifies as


Fully booked

My treatment methods

Solution Focused Brief Treatment

Solution-Focused Brief Therapy (SFBT) is one of the world's most widely used therapeutic treatments. SFBT is a strengths-based, short-term goal-focused, evidence-based therapeutic approach, which incorporates positive psychology principles and practices, by helping clients change by constructing solutions rather than focusing only on problems. SFBT is different from more traditional psychotherapy approaches in that it seeks to help clients focus on current issues or challenges. In SFBT, the therapist and the client work collaboratively to identify existing strengths while working to foster the development of new skills in order for the client to better manage symptoms that are causing distress while strengthening their ability to move forward to achieve future goals. SFBT therapists use this approach to help clients construct a clear vision of a preferred future for themselves. SFBT therapy can be helpful for a variety of issues including anxiety, depression, self-esteem, relationship and interpersonal issues, grief, loss, and coping with adjustments or changes in life.

Cognitive Behavioral (CBT)

Cognitive Behavioral theory suggests that our thoughts, emotions, body sensations, and behavior are all connected, and that what we think and do affects the way we feel. Simply put, this means that our thoughts determine our feelings and behavior. Consequently, Cognitive Behavioral Therapy (CBT) is a type of psychotherapeutic treatment that helps clients learn how to identify and change the destructive or disturbing thought patterns that have a negative and detrimental influence on their behavior, emotions, mood, and body. CBT combines cognitive therapy with behavior therapy by identifying maladaptive patterns of thinking, emotional responses, or behaviors and replacing them with more desirable patterns. Through CBT, faulty thoughts are identified, challenged, and replaced with more objective, realistic thoughts. CBT has been demonstrated to be effective for a range of problems including depression, anxiety disorders, post-traumatic stress disorder, irrational fears, social phobias, alcohol and drug use problems, relational issues, conflict resolution, grief, loss, and adjustment issues.


Integrative Psychotherapy, also commonly referred to as Multimodal Therapy (MMT), is a type of holistic approach to psychotherapy, usually involving the use of several therapeutic techniques or approaches at once or throughout the therapeutic process. The word “modality” simply means a method of treatment. What this usually refers to are different types of therapeutic approaches, each of which might focus on a different aspect of the client’s life. In other words, the focus tends to be on treating the whole person using multiple therapeutic approaches or interventions based on the clients’ unique needs rather than focusing too narrowly on specific symptoms. MMT’s holistic approach focuses on seven different but interconnected modalities to address the client’s individual needs or psychological issues: behavior, affect, sensation, imagery, cognition, interpersonal factors, and drug/biological considerations. A variety of treatment modalities may be utilized during a therapeutic session including cognitive restructuring exercises, role-playing to practice social skills, relaxation techniques, or discussing relationship dynamics. MMT can be used in the treatment of emotional and psychological problems, including depression, anxiety, trauma, abuse, relationship and interpersonal issues, personality disorders, bipolar disorder, ADHD, and substance abuse.

Mind-body approach

Awareness of the mind-body (MB) connection is certainly not a new idea, but it may feel unfamiliar to some in Western culture, where the mind, body, and spirit have been traditionally viewed as distinct entities for several centuries. However, this view is rapidly changing as researchers scientifically prove the complex links between the mind, body, and spirit. MB practices are techniques designed to enhance the mind's positive impact on the body. These techniques include behavioral, psychological, social, expressive, and spiritual approaches. Examples of MB techniques include art therapy, prayer, mindfulness meditation, music therapy, breath work, guided imagery, and relaxation. MB approaches act to change a person's mental or emotional state or utilize physical movement to train attention or produce mental relaxation. They are occasionally used as a sole treatment, but more commonly as adjuncts to other therapies. MB approaches are commonly used to treat a variety of mental health and chronic physical health conditions, including depression and anxiety.

Christian Counseling

Christian Counseling (CC) incorporates both psychological theories and theological approaches to talk therapy by using biblical concepts in conjunction with psychotherapy practices. CC focuses on behavioral health treatment from a biblical perspective and seeks to help Christian’s grow in their personal faith, successfully navigate personal, relational, physical, and spiritual concerns, while effectively managing everyday life struggles and challenges in alignment with their Christian faith. CC is designed for Christian believers with intentions of strengthening spiritual and emotional well-being.