Inclusive LGBTQ+ Counseling in North Carolina
Out of the Closet Counseling, PLLC
Life on life’s terms can be challenging — and you don’t have to face it alone.
about Out of the Closet Counseling
At A Glance
Sarah Hacker is a licensed LCSW, LCAS, and CCS who has been a social worker since 2014. Over more than a decade of practice, she has worked with individuals facing depression, anxiety, trauma, and substance use challenges.
As a queer cis woman, Sarah specializes in serving the LGBTQIA+ community — not as an outside ally, but as someone who understands these experiences from the inside. That lived perspective shapes everything about how she works.
Sarah’s approach is laid-back and collaborative. She believes that real progress starts with genuine rapport, and that healing happens best in a space where you feel truly seen and accepted — not managed or judged. Her goal isn’t to have all the answers. It’s to walk alongside you as you find your own.
“I strive to build a judgment-free space, where we can work collaboratively in order to face life’s hurdles. I would be honored to walk with you on this journey of healing and growth.”
LCSW · LCAS · CCS · Safe Zone Trained · NALGAP Member
Services
Individual Therapy One-on-one support tailored to what you’re carrying. Whether it’s anxiety, depression, trauma, or identity questions, therapy with Sarah is a collaborative process — you set the pace, she helps guide the way.
LGBTQIA+ Specialized Care Out of the Closet Counseling was built with the LGBTQIA+ community at its heart. From gender identity and coming out to family dynamics and community-specific stressors, Sarah brings both professional training and personal understanding to every session. Learn more about LGBTQ+ Specialized Care →
Trauma & Anxiety Trauma doesn’t always look dramatic from the outside — but it lives in the body and shapes how we move through the world. Sarah works with clients to process past experiences and quiet the anxiety that keeps so many people stuck.
Substance Use Support As a licensed LCAS and CCS, Sarah brings specialized expertise in substance use counseling, working with individuals to address the role that substances play in their lives without shame or judgment.
Telehealth Across North Carolina All sessions are held virtually, so wherever you are in North Carolina, support is within reach. No commute, no waiting room — just a private, comfortable space to do meaningful work.
Getting Started
1. Reach Out Use the contact form or send a message to connect with Sarah. It’s a simple first step — no pressure, no lengthy intake process.
2. Schedule a Consultation Sarah will reach out to set up a brief consultation so you can get a feel for her approach and ask any questions you have.
3. Begin Your Sessions If it feels like a good fit, you’ll schedule your first session and get started. All you need is a private space and an internet connection.
Ready to Take the First Step?
You deserve support that actually fits who you are. Whether you’re ready to book or just have a few questions, Sarah would love to hear from you.