As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.
Mindfulness-based care
Practical skill building
Compassionate listening
About Sarena
Sarena Mestas is a licensed professional counselor who helps people manage stress, anxiety, depression, and mood conditions such as bipolar disorder. She also supports work on relationships, self-esteem, confidence, and issues like panic attacks and social anxiety. She works with women’s concerns, body image, workplace strain, and communication problems.
She uses a conversational, respectful approach and adapts sessions to each person’s needs. Sessions focus on practical steps people can try between meetings. Sarena draws on mindfulness practices to help with moment-to-moment awareness and on cognitive behavioral techniques to notice and change unhelpful thinking patterns.
She also uses client-centered methods that prioritize the person’s goals and values. Dialectical behavior therapy skills are brought in when emotional regulation and impulsivity are concerns. Motivational interviewing supports people who want to increase their motivation for change.
With 12 years of professional experience, Sarena aims to create an environment of sensitivity and compassion. She encourages small, achievable goals and honors the courage it takes to begin therapy. Her practice is based in Oregon and sessions are offered in English.
Before booking, readers should confirm current session options and scheduling. The sign-up process involves a short questionnaire and scheduling according to the therapist’s availability.
How mindfulness and skills work online
Sarena combines mindfulness practices, client-centered care, and cognitive behavior techniques to help people manage mood and anxiety. Mindfulness Therapy focuses on present-moment awareness and gentle attention to thoughts and feelings, which can reduce reactivity and help with stress and panic. Client-Centered Therapy prioritizes the person's goals and values, creating space for them to guide the pace and focus of sessions. Cognitive Behavioral Therapy helps identify unhelpful thoughts and develop different ways of thinking and behaving to ease symptoms.
Figuring out the best approach is part of the process, and the therapist works collaboratively to choose methods that match each person's needs and preferences. Together they decide what to try first and adjust based on what helps most in day-to-day life.
Practical benefits of online work include fitting sessions into a busy schedule and keeping continuity when travel or relocation occurs. Online work can also make it easier to schedule shorter check-ins or to meet from different locations when life is unpredictable. Because the biography does not list specific session formats, confirm current session options before booking so you know what formats are available and how they might fit into your routine.
These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.
Frequently asked questions
What concerns does she help with?
Sarena supports people working on stress, anxiety, depression, and bipolar disorder. She also helps with relationships, self-esteem, body image, panic attacks, social anxiety, and workplace issues.
What is her therapeutic style?
Her style is conversational and respectful, focused on adapting the approach to each person. Sessions combine practical skills, mindful awareness, and collaborative goal setting.
How much experience does she have?
She has 12 years of professional experience supporting people with mood and anxiety concerns.
What credentials and location apply?
She is an LPC, which stands for Licensed Professional Counselor, and practices from Oregon.
Are sessions available in other languages?
Sessions are offered in English, and international clients are accepted.
Which session formats are offered?
The therapist’s original biography does not list specific session formats; please confirm current session options before booking.
How is cost handled?
Session cost varies with location and therapist availability and uses a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist’s availability.
Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.