About Sarah Refvem
Focus areas
Anxiety
Existential Anxiety
Therapy For Chronic Pain / Illness
Caregiver Burnout
Psychological Trauma
Childhood Trauma
Somatic Therapy
Clientele seen
Young adults (18-24)
Individuals
Adults (25-64)
Seniors (65+)
Treatment approaches
Acceptance and Commitment (ACT)
Cognitive Behavioral (CBT)
Attachment-based
Compassion Focused
Art Therapy
Dance/Movement Therapy
Identity
Gender
FemaleLanguages spoken
English
Getting to know Sarah Refvem
I offer relational narrative-somatic psychotherapy for adults who recognize that the ways they learned to survive may no longer allow them to fully live. By exploring how experience is carried through mind, body, story, and relationship, therapy creates the conditions for protective patterns to become more flexible and new possibilities to emerge. You will be supported in reconnecting with yourself, developing embodied agency, and carrying greater freedom, connection, and aliveness into your everyday life.
My practice integrates narrative therapy, somatic psychotherapy, mindfulness, and evidence-based care. I hold master’s degrees in public health and counseling, and my work is informed by advanced training in trauma, nervous system regulation, meditation, and Yoga Nidra. I have a particular interest in supporting veterans, caregivers, and trauma survivors.
What should a new client know about working with you?
Therapy should be more than a place to cope. It should be a place where lasting change becomes possible. My role is not to tell you who you are, but to listen carefully, notice patterns that may be difficult to see from the inside, and create a space where your experiences can be explored with curiosity, respect, and compassion.
Many of the people I work with have spent years adapting to difficult circumstances, becoming experts at caring for others, or carrying burdens they rarely speak about. You do not have to hide these parts of yourself, and you do not have to force them to change. In a therapeutic relationship where you feel deeply seen, we can approach them with curiosity, honor the intelligence within them, and listen for what may be ready to move.
My training and clinical experience guide the process, but your wisdom, values, and lived experience remain at its center.
What is your typical process for working with clients?
Our first session is a chance for us to begin getting to know one another. You’ll have space to ask questions, share what is bringing you to therapy, and explore what you hope for from the process. We’ll also establish some of the structure for our work so that, moving forward, we can focus on what matters most: you.
In our ongoing work, I often use creative questions and gentle invitations to shift perspective, notice what is happening in the body, or deepen our experience of the conversation. Over time, clients may develop greater awareness, self-compassion, and more freedom in how they respond to life’s challenges.
I typically work with clients for at least six months, though the length of therapy depends on your needs, goals, and circumstances. We’ll revisit the direction of our work together as it unfolds.
Is this doctor in your insurance network?
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In-network insurances
Sarah Refvem, LPC has 50+ in-network plans.
Don’t see your insurance?
It’s common for mental health providers to be out-of-network. Many insurance plans offer out-of-network coverage, so you may get partially reimbursed. Learn more
Out-of-pocket fees and assistance
Initial session: $150 for 55 minutes
Ongoing session: $150 for 55 minutes
- Sliding scale: Offers lower out-of-pocket fees on an individual basis, typically based on your ability to pay
More information on payments and coverage
I currently accept commercial insurance plans in Louisiana processed securely through Headway. For Virginia clients, my insurance credentialing is actively forthcoming. In the meantime, I accept out-of-network and private pay options.
If using insurance, you will receive an email invitation from Headway within 24 hours after booking. Please securely upload your insurance and card details through that link prior to our session so Headway can verify your exact copay or deductible.
I offer direct private pay options if you do not have a covered plan. A sliding scale tier is available for clients requiring financial flexibility.
If you wish to utilize out-of-network benefits, I can provide a monthly clinical receipt (superbill) for you to submit to your insurance provider for potential reimbursement.
Navigating fees should not stand in the way of care. If you have any questions about rates, insurance setup, or sliding scale availability, please reach out!
Education and background
Practice names
Education and training
- Loyola University New Orleans, Master's in Clinical Mental Health Counseling
NPI number
1235969791
How soon can I make an appointment with Sarah Refvem?
Generally, Sarah Refvem has appointments available on Zocdoc within 1 week. You can see Sarah Refvem's earliest availability on Zocdoc and make an appointment online.
Is Sarah Refvem accepting new patients?
Sarah Refvem generally accepts new patients on Zocdoc. You can see Sarah Refvem's earliest availability on Zocdoc and schedule an appointment online.
Does Sarah Refvem accept my insurance?
Choose your insurance plan to verify if Sarah Refvem is in-network.
Can I make an appointment with Sarah Refvem online?
Yes, you can make an appointment online with Sarah Refvem using Zocdoc. It’s simple, secure, and free.
What practice does Sarah Refvem work with?
Sarah Refvem works with Living Resonance Therapeutics.
What are common reasons for patients to see Sarah Refvem?
Sarah Refvem frequently sees patients for Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for Sarah Refvem on their profile.
What languages does Sarah Refvem speak?
Sarah Refvem speaks English.