Sophie Harano, MCAA, MSW, PLMHP

Note: Sophie is currently accepting new clients!

Practical support for people who are used to pushing through

You may look capable and successful on the outside while feeling overwhelmed, distracted, burned out, or stuck underneath it all. Maybe it is difficult to start tasks, follow through on plans, manage pressure, recover your confidence after a setback, or understand who you are when an important part of your life changes.

Therapy should give you more than a place to talk. It should help you understand what is happening, identify what is getting in your way, and develop practical ways to move forward.

I work especially well with college students, athletes, coaches, leaders, and other high-achieving adults who want support but also want to problem-solve, develop new skills, and make meaningful changes in their everyday lives.

A therapist who understands high-performance environments

Before becoming a therapist, I competed as an All-American college athlete in pole vault. I later coached collegiate track and field before becoming a therapist.

These experiences gave me firsthand knowledge of the pressure, discipline, relationships, injuries, uncertainty, and identity questions that can come with competitive environments. I understand how difficult it can be to balance ambition with well-being, manage expectations from yourself and others, or adjust when injury, burnout, graduation, retirement, or another transition changes your relationship with your sport.

My role is to support the mental and emotional aspects of these experiences. That might include working through performance-related anxiety, rebuilding confidence after an injury, navigating team or coaching relationships, preventing burnout, or developing an identity and sense of purpose that are not entirely dependent on achievement.

You do not need to be an athlete to work with me. Many of the same patterns affect students, professionals, and other people who have learned to measure themselves by how much they accomplish.

Areas we can work on together

I help clients with concerns including:

  • ADHD-related difficulties with organization, time management, motivation, and follow-through
  • Anxiety, overthinking, perfectionism, and pressure to perform
  • Depression, low self-confidence, and feeling disconnected from the life you want
  • Burnout and difficulty balancing achievement with rest and personal needs
  • Emotional adjustment following an injury or other major setback
  • Identity changes after college, athletics, career changes, or other life transitions
  • Relationship stress, communication difficulties, and team dynamics

Whatever brings you to therapy, we will work together to identify patterns, clarify what matters to you, and choose realistic steps that support the life you want to build.

What therapy with me is like

My approach is collaborative, supportive, and active. I want you to feel understood, but I will also help you examine patterns, consider new perspectives, and decide what can be done differently.

I draw primarily from cognitive behavioral therapy and other evidence-based, strengths-based approaches. Depending on your needs, our work may include building coping skills, improving emotional awareness, developing systems that work with your brain, strengthening communication, navigating transitions, or responding differently to thoughts and habits that have kept you stuck.

You do not need to arrive with perfectly defined goals or complete every suggestion flawlessly. When it would be helpful, we may choose one or two manageable strategies to try between sessions. These are opportunities to learn what works for you—not a pile of homework or another standard you are expected to meet.

I will offer support, perspective, and accountability as you practice these tools in everyday life. My goal is not only to help you feel better during a difficult moment, but also to help you become more confident in your ability to manage future challenges.

Taking the next step

Finding a therapist who feels like the right fit matters. If you are looking for someone who will listen without judgment while also helping you take practical steps toward change, I would be happy to meet with you.

I am currently accepting new clients for in-person therapy in Lincoln and telehealth appointments throughout Nebraska.

Reach out to schedule a free 15-minute consultation and determine whether working together feels like a good fit.

Speaking and educational programs

I am also available to speak with teams, coaching staffs, athletic programs, schools, workplaces, and other organizations. Possible topics include athlete mental health, ADHD and performance environments, coach burnout, communication under pressure, the emotional side of injury recovery, and adjusting to life after competitive sports.

Contact me directly to discuss a presentation designed for your team or organization.

Insurance & Payment

I am in network with Blue Cross and Blue Shield, UnitedHealthcare Community Plan Medicaid, Molina Medicaid, Ambetter, Midlands Choice, and Aetna. I also welcome self-pay clients who prefer not to use insurance for therapy.

Coverage and out-of-pocket costs vary by plan, and I can help you verify your benefits before your first appointment.

Contact us for a Free consultation today