Sarah De Miglio (she/her)

LPCC
Accepting Clients

Hi I'm Sarah,I provide therapy for adults navigating anxiety, ADHD, relationships, burnout and life transitions who want relief and support

Licensed Clinical Mental Health Counselor in St. Paul, MN

Services
  • Individual
  • Couples
  • Family

About My Clients

If you’re an adult or parent feeling overwhelmed by ADHD, anxiety, trauma, or depression, you’re not alone. Life may feel heavier than it looks from the outside. Maybe you’ve been recently diagnosed with ADHD or you’re juggling work, relationships, household demands, and performance pressures while wondering why it all feels so hard. I connect deeply with teachers, working professionals, and high-functioning individuals who appear capable on the outside but feel stretched thin internally.

My Background and Approach

I am a licensed therapist with training in ADHD, anxiety, trauma, depression, and burnout. My work is grounded in evidence-based practices while remaining deeply relational. I have extensive experience working with adults, parents, teachers, and high-functioning professionals who appear capable on the outside but feel overwhelmed internally. My background allows me to help you not only understand what’s happening in your brain and nervous system, I help clients develop practical strategies that make daily life feel more manageable. I support clients in building executive functioning skills, reducing shame, and working with their brain rather than against it.

My Personal Beliefs and Interests

I believe therapy works best when it feels like a real, authentic—where we can laugh, reflect, and be honest without fear of judgment. I don't believe in pretending to have all the answers, but I do believe in being present, curious, while walking with you as we explore what's weighing you down or getting in the way.

Techniques I Use

Specialties
Attachment Theory
Other Techniques
  • Attachment Theory
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Emotionally Focused Therapy (EFT)
  • Gestalt Therapy
  • Accelerated Resolution Therapy

Issues I Treat

Specialties
Attachment Historical/ Intergenerational Trauma Relationship Issues
Other Issues
  • ADHD Therapists
  • Anxiety
  • Attachment
  • Burnout
  • Codependency
  • Depression
  • Family Conflict
  • Historical/ Intergenerational Trauma
  • Post Traumatic Stress Disorder (PTSD)
  • Relationship Issues
  • Self-Esteem
Insurance Plans Accepted
  • Cigna
  • Medicaid
  • Blue Cross Blue Shield (BCBS)
  • UMR
  • Anthem Blue Cross/Blue Shield
  • UCare
  • Hennepin Health
  • Evernorth
  • Blue Cross and Blue Shield of Minnesota and Blue Plus (Blue Cross) members
I offer online counseling in the following states:

At A Glance

  • Experience: 3 years of practice
  • Languages: English
  • Rate: $80 - 180/session

Info

Email Sarah
22388 University Ave. W.
Suite 202
St. Paul, MN 55114

Reach out to Sarah