Cary
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C

Sarah Szymanowski

Counselor, LCMHC-A, MT-BC, PMH-C

Verified by Psychology Today Verified by Psychology Today
8 Endorsed
Cary, NC 27518
Connect with Sarah Szymanowski
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Motherhood can be overwhelming and intense, whether you’re counting the time after your child’s birth in weeks or years. Are you a new mom navigating symptoms of depression or anxiety, all the while you just want to get to know your new baby in peace? Or are you an experienced mom, who thought you might have a better understanding of this version of yourself which has been shaped through motherhood and matrescence? Maybe your experience is complicated by grief — which is difficult to hold at any stage of life. “Holding” is at the heart of my work as a therapist. You do not have to hold these challenges alone. Please reach out!
Sarah Szymanowski now for a free 15 minute consultation

My Practice at a Glance

Available online only

Fermata Counseling

Cary, NC 27518

Raleigh, NC 27608

My website
Weekday morning hours through telehealth so you can meet me from the comfort of your own home (or a quiet nook at work, your car, etc.)
I specialize in Pregnancy, Prenatal, Postpartum, Parenting and Grief 
$155 Per Session  
I see individuals and groups  
Not my therapy office, but I had to take advantage of a car nap! Fit of therapist is so important. Feel free to view my IG fermatacounseling
Sarah Szymanowski
Connect with Sarah Szymanowski
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C

My Practice at a Glance

Available online only

Fermata Counseling

Cary, NC 27518

Raleigh, NC 27608

My website
Weekday morning hours through telehealth so you can meet me from the comfort of your own home (or a quiet nook at work, your car, etc.)
I specialize in Pregnancy, Prenatal, Postpartum, Parenting and Grief 
$155 Per Session  
I see individuals and groups  
Not my therapy office, but I had to take advantage of a car nap! Fit of therapist is so important. Feel free to view my IG fermatacounseling
Sarah Szymanowski

Finances

Fees

  • Individual Sessions $155
  • Sliding scale: apply if you may be eligible

Payment Methods

American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Out of Network
"
I can provide a superbill for you to submit to insurance for out of network benefits. I maintain 2 reduced fee spots at $75 per session - ask about availability if you think you might qualify. Currently 1 reduced fee spot is available (as of 1/5/26)
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.
"
I can provide a superbill for you to submit to insurance for out of network benefits. I maintain 2 reduced fee spots at $75 per session - ask about availability if you think you might qualify. Currently 1 reduced fee spot is available (as of 1/5/26)
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.

Qualifications

  • Verified by Psychology Today Prelicense by State of North Carolina / A19050 Supervised by Ruth Amos (North Carolina / S4830) Sarah Szymanowski

    • Education and Years In Practice

  • In Practice for 3 years
  • Attended North Carolina State University, Master of Education in Clinical Mental Health Counseling, Graduated 2023

    • Additional Credentials

  • Certificate from Certification Board for Music Therapists 09413 / 2010
  • Certificate from Postpartum Support International PSI2571430 / 2025
"
I worked for 10 years as a music therapist in various settings (including inpatient and outpatient mental health) before going back to grad school for my counseling license. Becoming a mom was my "why" for going back to school!
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.
"
I worked for 10 years as a music therapist in various settings (including inpatient and outpatient mental health) before going back to grad school for my counseling license. Becoming a mom was my "why" for going back to school!
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.

Specialties and Expertise

Top Specialties

  • Pregnancy, Prenatal, Postpartum
  • Parenting
  • Grief

Expertise

  • Anger Management
  • Anxiety
  • Body Image
  • Career Counseling
  • Caregivers
  • Depression
  • Infertility
  • Life Transitions
  • Marital and Premarital
  • Miscarriage and pregnancy loss
  • Parental loss
  • Relationship Issues
  • Self Esteem
  • Stress
  • Women's Issues
"
As a mental health professional, I have specialized training to help with the symptoms making you feel like you're "not yourself." I'm a mom to 3 kids, I am personally attuned to the current parenting climate and empathetic to the experiences of others mothering in this time and place. This is hard. I believe therapy can help.
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.
"
As a mental health professional, I have specialized training to help with the symptoms making you feel like you're "not yourself." I'm a mom to 3 kids, I am personally attuned to the current parenting climate and empathetic to the experiences of others mothering in this time and place. This is hard. I believe therapy can help.
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.

8 Endorsements

Lina Assad Cates
Lina Assad Cates
Marriage & Family Therapist, LMFT, ATR-BC
I had the honor of working alongside Sarah over a decade ago, and I'm still inspired by the authenticity and humor that she brings to her work as a therapist and mom. I can't recommend Sarah enough!
Allison McQuaid
Allison McQuaid
Counselor, LCPC, PMH-C
I'm a colleague of Sarah's in the perinatal field and she is such a gem! Her knowledge, compassion, and creativity/creative expression to the therapeutic space is amazing! I would highly recommend her to any mom in NC!
Megan Davis
Megan Davis
Clinical Social Work/Therapist, LCSW, PMH-C
Sarah is a wonderful therapist supporting women during pregnancy and postpartum. She does a fabulous job helping others feel seen and heard and is a great resource for parents parenting without their own parents. I highly recommend her!
Emma Case Beasley
Emma Case Beasley
Lic Clinical Mental Health Counselor Associate, LCMHCA, JD
Sarah is a compassionate, authentic and generous therapist! I am grateful for her mentorship and highly recommend her to new moms and others seeking support while on their parenting and caregiving journeys.
Kirsten Reberg-Horton
Kirsten Reberg-Horton
Counselor, MA, LCMHCA
Sarah is a perceptive, intelligent, empathetic therapist. She is someone clients can trust and rely upon, Her listening skills and inherent kindness shine through. I know Sarah as a colleague and a friend and admire her parenting and her professionalism.
Sarah Sloane Donovan
Sarah Sloane Donovan
Licensed Professional Counselor, LCPC, PMH-C
Sarah is a skilled therapist and mom of three who brings depth and authenticity to her work. She supports mothers through parenthood, grief, and perinatal transitions, and is a trusted resource for families in North Carolina.
Erin Spahr
Erin Spahr
Licensed Clinical Mental Health Counselor, LCPC, LCMHC, PMH-C
Sarah is one of my most trusted referrals for new parents, grandparents, and anyone navigating life transitions or grief. She brings a rare mix of humor and compassion to her work, creating relationships that feel both supportive and genuine.
Stacy McCann | Therapy for Moms
Stacy McCann | Therapy for Moms
Clinical Social Work/Therapist, LCSW
Sarah is a talented therapist that provides excellent services to her clients. Her work with all generations speaks to her deep commitment to the lifespan. She provides a judgement free, emotionally safe space, and I highly recommend her!

Client Focus

Age

Adults

Participants

Individuals , 
Group

I also speak

Can have sessions in German and English , 
German , 
Worked 2 years in Germany as a music therapist

Age

Adults

Participants

Individuals , 
Group

I also speak

Can have sessions in German and English , 
German , 
Worked 2 years in Germany as a music therapist

Treatment Approach

Types of Therapy

  • Brainspotting
  • Cognitive Behavioral (CBT)
  • Culturally Sensitive
  • Dialectical Behavior (DBT)
  • Expressive Arts
  • Feminist
  • Humanistic
  • Motivational Interviewing
  • Music Therapy
  • Narrative
  • Person-Centered
  • Psychodynamic
  • Strength-Based
"
Unlike Instagram influencers, I am not looking to "fix you" or your problems. As a person-centered therapist, I believe you are the expert on yourself. I am there to hold space for you and what is troubling you — and then reflect, validate, challenge, connect, provide education — until you start feeling you are living a version of motherhood that feels more balanced, authentic, and present.
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.
"
Unlike Instagram influencers, I am not looking to "fix you" or your problems. As a person-centered therapist, I believe you are the expert on yourself. I am there to hold space for you and what is troubling you — and then reflect, validate, challenge, connect, provide education — until you start feeling you are living a version of motherhood that feels more balanced, authentic, and present.
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
for a free 15 minute consultation now.

Location

Primary Location

Fermata Counseling

Cary, NC 27518

Email me

My website

Additional Location

Raleigh, NC 27608

Nearby Areas

Cities

Counties

Zips

Neighborhoods

"
Weekday morning hours through telehealth so you can meet me from the comfort of your own home (or a quiet nook at work, your car, etc.)
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C
"
Weekday morning hours through telehealth so you can meet me from the comfort of your own home (or a quiet nook at work, your car, etc.)
Photo of Sarah Szymanowski, Counselor, LCMHC-A, MT-BC, PMH-C
Sarah Szymanowski
Counselor, LCMHC-A, MT-BC, PMH-C