Sarah Hilsman

I come to the practice of counseling after many years working in student services in a university setting. I find (as the research continues to show) that the most important element of effective counseling is the connection between client and counselor—we will work collaboratively. I draw on many approaches including but not limited to client-centered, mindfulness, existential therapy, attachment theory, Buddhist psychology, solution-focused, trauma-informed, grief work, and internal parts work.

I am in network with Aetna insurance and UHC/Optum and I also take direct pay (sliding scale is $170 to $120). I am seeing clients mostly through a HIPAA compliant video platform. Currently (Spring 2026), I do have a small number of openings for new clients.

I am licensed to practice in New York, Connecticut, Maine, New Mexico, and registered for on line counseling in Florida and South Carolina.