Sarah Crane O'Neill, PLLC

About Sarah Crane O'Neill, PLLC
Compassionate, Experienced, and Here to Help
With over a decade of experience, I am passionate about helping individuals navigate life’s challenges and create meaningful change. My approach is rooted in warmth, non-judgment, and authenticity.

My Background
I earned my Master’s in Social Work from Smith College School for Social Work in 2008 and my BA in Sociology from Brandeis University in 2004. Before opening my private practice in 2018, I gained experience working with diverse populations as a mental health counselor at organizations such as Seattle Therapy Group, Harborview Abuse & Trauma Center, and Catholic Community Services. I also served as a case manager at Amara, where I supported foster and adoptive families. My varied professional background has shaped my holistic and relationship-centered approach to counseling.
Therapeutic Approach
I draw from a variety of evidence-based therapeutic approaches, including psychodynamic and attachment theory, Acceptance and Commitment Therapy (ACT), Emotionally Focused Therapy for Individuals, and mindfulness practices. I believe in the healing power of relationships—both the relationship you have with yourself and with others. My role is to support you in building stronger connections, navigating life’s transitions, and working through challenges. I offer both in-office and walk-and-talk counseling to provide flexibility and comfort in how we engage in counseling.

A Little More About Me
I identify as a white, cisgender, heterosexual woman. I strive to learn and grow in understanding my identity and privilege, in an effort to be as free of bias as possible in my practice. I maintain a small caseload, which allows me to focus on providing high-quality, personalized care for each client. I prioritize my own personal and professional development through ongoing training and consultation.
Outside of my work, I enjoy being in nature, exercise of many kinds, creative projects, and time with my family. I’ve been married for fifteen years and my husband and I have two elementary-age children and a puppy. I grew up in the Boston area, and I’ve also lived in North Carolina and Chile and Argentina, South America.


Areas of Expertise
My areas of expertise include stress management, life transitions, relationship issues, self-esteem, parenting support, and foster care/adoption issues. I specialize in helping clients develop their own strengths and make life shifts that align with their values, fostering a deeper sense of connection, peace, and fulfillment.