

Sara Riggs, LCSW
Therapist, Practice Owner
Sara Riggs (she/they) started her private practice in 2018 and transitioned to include ecotherapy in 2020. She is a Licensed Clinical Social Worker, EcoSomatic therapist, relational practitioner, parent, advocate for rivers and watersheds, child of fiber artists & weavers and conscious community member. Sara was born in the piedmont of NC, where she lives with her family and practices now. She received her undergraduate degree in Psychology from Appalachian State University and then completed her graduate degree in Social Work at North Carolina State University. Sara has been working and volunteering in the mental health field for over sixteen years, from residential eating disorder treatment to community mental health and now in private practice.
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Sara has been learning and practicing somatic and embodied-relational approaches for over a decade. She completed her level 1 certification in Sensorimotor Psychotherapy and level 1 & 2 modules with the Embodied Recovery for ED Institute, and is currently training at an advanced skills level with ERED from 2026-2027. She has significant training and experience in Dialectical Behavior Therapy (DBT), Mindfulness and Ecotherapy. Other healing modalities Sara integrates in session with clients are the Internal Family Systems model (IFS), The Work that Reconnects, created by the late Joanna Macy, and Psychedelic Assisted Psychotherapy.
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Sara continues to deepen her relationship with the more-than-human-world, experiencing her own healing and connection practices through time spent with Earth. Through her work as an EcoSomatic/Eco-Relational therapist she has found that:
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Emotions are more deeply felt and held when we’re amongst our more-than-human-kin.
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Inviting our senses to explore in the forest or nearby water brings us into awareness and presence, slowing down our nervous system and thoughts, and offers our body connection to joy and safety.
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Also that we can mend disconnection, loneliness and honor grief through learning about and holding the land's history, engaging in environmental reciprocity, and being with safe and affirming communities.
Clients who have engaged in ecotherapy with Sara have noted feeling more calm and present in their bodies and able to access their self, parts, and spaces for healing with more clarity.
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You and Sara could be a good fit if...
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​If you're high school aged or older.
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If it's your first time in therapy, wanting to expand therapeutically beyond the mind/cognitive therapy, or looking for complimentary support to your primary therapy.
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If you're seeking healing and resourcing with attachment ruptures & adaptations, compound trauma, nourishment issues and body distress/disconnection, stress and anxiety, reconnection to self and community, sensory exploration & neuro-expansive, chronic pain, transformation and transition, and climate & political grief.
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If you would prefer to meet with a practitioner who enjoys working with LGBTQIA2S+ folx and people of the global majority, and those interested in exploring their gender identities, sexuality and pleasure.
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If you're looking for a practitioner who believes that all bodies are good bodies, and deserve inclusion, care, compassion, and safety.
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If you're looking for therapy that offers you a deepening, somatic, holistic, compassionate, social justice lensed, sensory resourcing & sensitive, ancestral, decolonizing, connective, outdoors, psychedelic, relational, and trauma sensitive healing experience.
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And if you're looking for LCSWA supervision. Click here to learn more about Sara's values as a Supervisor.

Ecothreapy
What is ecotherapy?
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Ecotherapy is an "umbrella term for nature-based methods of physical and psychological healing ...acknowledges the vital role of nature and addresses the human-nature relationship."
"Ecotherapy refers to healing and growth nurtured by healthy interaction with the earth."
Ecotherapy identifies "health (as) a systems concept that cannot be split off from the whole", where healing our bodies also includes taking care of the environment around us.
In therapeutic practice, the natural world becomes a co-therapist, a third entity in the client-therapist relationship, where as inviting nature in to the mix offers increased opportunity to reconnect our bodies to a bigger system and increase our awareness using our senses and curiosity.
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What are some ecotherapy practices?
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Ecotherapy practices encompass a wide range of work-in-nature: nature-reconnection practices, animal-assisted psychotherapy, horticultural therapy, time-stress management, wilderness work and retreat, environmental activism, nature bathing, voluntary simplicity, nature based meditation groups, walking therapy, and more.
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Quotes and definitions: Ecotherapy: Healing With Nature In Mind, edited by: Linda Buzzell and Criag Chalquist
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Therapy, Support & Connections
In Person Therapy Session - Office
Therapy session held in a cozy office in Downtown Apex.
Tele-therapy Session - Virtual
Convenient and accessible therapy session held over HIPPA compliant video or telephone platform.
Ecotherapy/EcoSomatic Session (Sara) - Meet Outdoors
Outdoors therapy session comprised of ecotherapy, mindfulness and somatic based practices. Sara meets with clients at Apex Community Park Lake.
Consultation & Engagements (Sara) ​
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Individual & Group consultation of somatic/ecotherapy practices & client cases.
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Speaking engagements.
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EcoSomatic group for professional groups.
Groups & Gatherings
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Eco-Connection group (February - June 2026)​
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Weaving Willows - New therapists/Associates Supervision Consult Group (On-going)
Rates & Insurance
Sara's hourly rate is $165
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Sara is out of network with insurance companies, but you can still use your insurance for therapy:
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Out of Network Filling - Your insurance might help cover the cost of therapy, even if we're not in-network. Many plans offer out-of-network benefits, which means you could get reimbursed for a portion of each session, usually 60-90%. We can check your benefits for you and let you know exactly what you’d pay per session before we even get started OR you can quickly check your out of network benefit with Thrizer (a HIPPA compliant, simple OON platform, we use to file OON claims and help you quickly receive your reimbursement).
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Sliding Scale - We offer sliding scale opportunities to all clients. Rates are based on household income.

"Through the empty branches the sky remains.
It is what you have.
Be earth now, and evensong.
Be the ground lying under that sky."
