To achieve wellness, I offer a patient-centered partnership to support and empower them in making informed choices toward change.  Every client is unique, and it is my job to assist you through a therapeutic process of transforming pain and other emotional distress into hope, strength, positive change, and achievement.  I provide customized treatment to address patient needs through integrative mental health counseling.  Common issues include, but are not limited to, anxiety, depression, mood disorders, identity development/issues, high performance, trauma, family conflict, co-parenting, and relationships.
I view families similarly to how I view homes.  Some are beautiful on the exterior, and one would assume has no interior issues.  Others are clearly in need of repair based on the exterior.  Yet, I remind myself that the exterior isn't everything.  Once you enter the home, structural challenges and mysteries may be behind closed doors.  As a therapist, I help you open the doors by reevaluating the shortfalls, building support and a study framework, and upgrading what works.
I believe that everyone has the ability to change, improve their overall wellness, and achieve their dreams.  Successful outcomes are accomplished through insight-oriented conversations that provide motivation, assess overall wellness, identify strengths, and create a safe space to explore oneself.   
For 16 years, I have worked with adolescents and adults, providing individual, couples, family, and college counseling. I am a professor for SUNY graduate Oswego’s Counseling and Psychological Services program. I am a Past President of the American Counseling Association of New York.
                            
                            
                                
                                    
                                                                        
                                        Types of Therapy
                                        
                                                                                                - Family Therapy
- Psychodynamic Therapy
- Couples Therapy
- Client Centered Therapy
- Marriage And Family Therapy
- Holistic Psychotherapy
 
                                                                        
                                        Helping Marriages Thrive Since
                                        
                                     
                                 
                                
                                    
                             
                            
                                
                                    Available Service Mode
                                                                            
                                                                                        
                                                     In person
                                                    In person
                                                 
                                                                                        
                                                     Internet meeting
                                                    Internet meeting
                                                 
                                                                                          
                                     
                                 
                                
                                    Works With
                                    
                                                                                    
                                                 Individual
                                                Individual
                                                                              
                                                                                    
                                                 Couples
                                                Couples
                                                                              
                                                                                    
                                                 Family
                                                Family
                                                                              
                                             
                                     
                                 
                             
                                                
                                                    
                                Specialities
                                
                                    
                                        - Anxiety
- Attachment
- Bipolar Disorder
- Borderline Personality Disorder
- Communication
- Depression
- Identity
- LGBTQ+
- Marriage
- Narcissistic Personality
- Perfectionism
- Rape & Sexual Assault
- Stress Management
- Teen Therapy
- Women\'s Issues
- Workplace
                  
                             
                                               
                        
                            Insurance & Fees
                             Below is the insurance and fees information for Dr. Sarah F. Spiegelhoff, outlining coverage options and pricing details for services.
                            
                                Insurance Information
                                
                                    I do not accept insurance at this time.                                
                             
                            
                                                                    Fees
                                                                            
                                         I charge
                                             
                                                between $150 and $200