About Sara
Sara Markham begins from a practical, relationship-focused foundation. She is a licensed marriage and family therapist in California with three years of experience as an LMFT.
Background and approach
Her work centers on helping people feel heard and regain confidence when life feels overwhelming. Sara uses straightforward conversation to help people set clear goals.
She listens for patterns in how someone relates to others and to themselves. Then she helps them try small changes that can make daily life feel easier and relationships clearer.
She draws on several therapy styles to match the person in front of her. Some sessions focus on identifying unhelpful thoughts and testing new behaviors.
Other times the focus turns to how past experiences shape current feelings and reactions. Mindfulness practices and brief solution-focused steps are used when people want concrete ways to manage stress or anxiety.
Sara often works with concerns such as anxiety, depression, relationship struggles, eating and body-image issues, and trauma and abuse. She also supports people dealing with grief, workplace stress, ADHD, and struggles with intimacy or self-esteem.
Her list of additional focus areas includes attachment issues, communication problems, and mood disorders. Sessions are offered by video, phone, live chat, or text-based messaging.
People who choose her typically want a collaborative coach-like approach blended with deeper therapeutic work. She aims to help clients notice small shifts that add up to meaningful change over time.
Therapeutic approaches and online care
Client-centered therapy focuses on understanding each person's experience and following their lead; it helps when people need a compassionate space to name feelings and clarify goals. Cognitive behavioral therapy (CBT) looks at the link between thoughts, feelings, and actions and offers practical exercises to reduce anxiety, change unhelpful thinking, and improve mood. Mindfulness therapy teaches simple attention and breathing practices that can help with stress, emotional regulation, and coping with difficult memories.Choosing the right approach is often a collaborative process. The therapist will work with the client to try methods that match their needs, goals, and preferences, and will adjust the plan as progress is seen. That way the work stays practical and relevant to everyday life.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video is useful for full conversations and visual cues. Phone sessions work well when bandwidth or camera use is limited. Live chat and text messaging can fit short check-ins, ongoing coaching, or people who prefer typing. These options help fit therapy into work breaks, caregiving schedules, and busy days while keeping continuity of care.
Frequently asked questions
What kinds of problems does she help with?
What is her therapeutic style like?
How much clinical experience does she have?
Where is she licensed and where does she practice?
Which languages are sessions offered in?
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How is payment handled and what does it cost?
How do I begin working with her?
Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Eating disorders
Also works with
- 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