Sarah Puskavich,LCPC, NCC, CRC

Sarah Puskavich,LCPC, NCC, CRC

Telehealth Available
Professions: Counselor
License Status: I'm a certified professional.
Primary Credential: LCPC - LC10782
Billing and Insurance:
I am an in-network provider for:
  • Blue Cross Blue Shield (BCBS)
  • Care1st
  • Cigna
Fees: Initial Session Fee is $220.00
50-minute Sessions are $175.00
Sliding Scale Options Available
Evening Availability


Rockville, Maryland 20855

View Accessibility

My Approach to Helping

The clients that I tend to work with struggle with anxiety, depression, family of origin issues, and poor self-image. However, they want to create change. While there are often the big picture issues we are working through, often there is more nuance to the issues such as perfectionism or attachment issues causing anxiety; burnout or unresolved trauma causing depression; or frequent conflict with loved ones or body image issues causing low self-esteem. Understanding your unique circumstances is vital to treating your issues effectively.

Working together, we will communicate to create a balance between processing issues, and then developing coping skills to address concerns. Processing allows us to focus on your experiences, identify patterns, sit with emotions, and clarify how you feel. Sometimes it also feels good just to get thoughts out of your mind within a safe space. While processing can lead to helpful insights and cathartic releases, adding in the skill development piece gives a framework for change to occur. It's my job to propose a skill that I think will help with the issue we are addressing. Then together, we can modify the skill to make sure it's accessible and realistic for you. It is so important that this process is collaborative so you feel empowered to use these skills in your own life and understand the "why" behind it. The skills that we will work on together, are not only backed by research, but have been shown to help people through the clinical work I've done.

Ages I Work With

  • Teens
  • Adults


  • English

Industries & Communities Served

  • Education
  • First Responder/Medical Professionals
  • LGBTQ+
  • Self-Employed and Freelance Professionals

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Bipolar
  • Codependency / Dependency
  • Depression
  • Dual Diagnosis
  • Family of Origin Issues
  • Family Problems
  • Mood Swings / Mood Disturbance
  • Self-Confidence
  • Social Anxiety / Phobia
  • Women's Issues
  • Young Adult Issues

Types of Therapy

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