About Sara
Sara Markham is a licensed marriage and family therapist who brings a warm, straightforward approach to counseling. She focuses on understanding each person’s history, strengths, and day-to-day struggles to help them move toward clearer goals. Sara uses simple, practical steps so people can notice change and feel more confident in their relationships and choices.
She blends different therapy styles to match a person’s needs. That can mean working on thinking patterns and behaviors, paying attention to feelings in the moment, or looking at how past relationships shape current habits.
Background and approach
Sessions focus on concrete goals such as improving communication, managing stress, or coping with mood changes. Sara works with adults experiencing stress, anxiety, depression, ADHD concerns, grief, eating and body image issues, addictions, and workplace or relationship strain. She also supports people dealing with trauma, compassion fatigue, social anxiety, and self-esteem challenges.
Her approach is practical and oriented toward real-life results rather than abstract theories. In sessions she prioritizes listening, empathy, and clear feedback. Clients can expect to set short-term goals, try small behavioral experiments, and practice new ways of relating between meetings.
The work often includes attention-based practices and skills people can use at home. Sara holds a California licensed marriage and family therapist credential, LMFT. She has three years of professional experience as a licensed clinician.
Therapy with her is offered in English and provided through multiple online formats to fit busy schedules.
How her approaches work in online therapy
Sara often uses Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions interact. In short sessions clients learn to spot unhelpful thinking patterns and try small behavioral changes to reduce anxiety, depression, or compulsive habits.She also draws on Client-Centered Therapy, which emphasizes listening and building a trusting relationship. That approach helps people feel heard and understood while they set personal goals and practice new ways of relating to others.
Finding the right approach is part of the work. Sara collaborates with each person to choose what feels useful based on goals and preferences. That might mean starting with problem-focused tasks and adding mindfulness or deeper exploration later.
Online therapy makes it easier to fit sessions into a busy life. Video calls give a face-to-face feel, phone sessions work well when bandwidth is limited, live chat allows quicker check-ins, and text messaging supports brief updates or coping reminders between meetings. These options let people keep momentum and practice skills in real time while staying flexible with work, school, or caregiving demands.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Eating disorders
Also listed
- Addictions
- ADHD
- Anger management
- Attachment issues
- Body image
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Eating and food-related issues
- Family conflicts
- Grief
- Intimacy-related issues
- LGBT
- Mood disorders
- Obsessions, compulsions, and OCD
- Phobias
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 3 years
- Licensed
- California
- Languages
- English
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