Sarah Howell, MSW, LCSW | Sarah E Studios
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Meet Sarah

You may be someone who understands a great deal about yourself and still finds that insight alone has not created the change you long for. You may appear capable and composed while carrying loneliness, anxiety, grief, resentment, or uncertainty underneath. Or you may love someone deeply and feel frightened by the distance that has developed between you.

I believe our most painful patterns usually developed for understandable reasons. Therapy is not about identifying what is wrong with you. It is about slowing down enough to understand what happens inside you and between you and the people who matter most.


I am Sarah Howell, a Licensed Clinical Social Worker (LCSW) and Certified Emotionally Focused Therapist (EFT) for Individual (EFIT) and Couples (EFCT). I provide attachment based psychotherapy for adults, couples, and families throughout Missouri through secure telehealth.

I help people with:

  • Relationship distress and emotional disconnection
  • Anxiety, perfectionism, shame, and self criticism
  • Grief, loss, and major life transitions
  • Betrayal, attachment injuries, and rebuilding trust
  • Questions about identity, meaning, belonging, and spirituality
  • Couples who love each other but feel trapped in painful recurring patterns

My style is warm, engaged, and emotionally focused. I will listen closely, but I will not simply sit back and leave you alone with your story. I help slow important moments down, notice the emotions and protective responses underneath them, and create new experiences of connection within the therapy room.


Psychotherapy is my second career. Before becoming a therapist, I spent many years working in finance, accounting, consulting, and investment banking. That experience gave me a deep respect for competence, discipline, responsibility, and the complicated ways people can build successful lives while becoming disconnected from parts of themselves.

My own transition into clinical social work was not simply a professional change. It was a movement toward work that felt more aligned with who I am and what I value most: emotional honesty, meaningful connection, creativity, healing, and the courage to live differently.

I was drawn to EFT because I had experienced the difference that safe, attachment based therapy can make. Later, studying attachment theory helped me understand why the approach felt so deeply resonant. EFT offered both a rigorous clinical model and a humane understanding of people: we make sense when we understand the relationships, longings, fears, and protective strategies beneath our behavior.


Outside the therapy room, I am a mother, partner, photographer, reader, writer, and lifelong maker of things. I am drawn to stories, images, books, and ordinary moments that reveal something meaningful about being human. I also share my life with Penelope, my tiny and mighty therapy dog who may occasionally appear during telehealth sessions. She is well known at BJC's Evelyn's House where she brings joy to hospice patients and their families.