Sarah Fletcher is a nutritionist and a Licensed Mental Health Counselor Associate (LMHCA) and Certified Nutritionist (CN) based in Des Moines, Washington. She offers services to individuals and couples, working with adults aged 18 to 65, as well as elders aged 65 and over. Sarah specializes in a range of concerns, including alcohol and drug use, general well-being and mental health concerns, and relationship stress. She provides services in English (US). Her therapeutic approach integrates various modalities, such as Cognitive Behavioral Therapy (CBT), Trauma Focused Therapy, Person-Centered Therapy, Strength-Based Therapy, Family / Marital Therapy, Motivational Interviewing, Interpersonal Therapy, Psychodynamic Therapy, Emotionally Focused Therapy (EFT), Relational Therapy, Humanistic Therapy, Dialectical Behavior Therapy (DBT), Existential Therapy, and Multicultural Therapy.