- CBT strategies
- Mindfulness practice
- Communication skills
About Sara
Sara Markham is a Licensed Marriage and Family Therapist (LMFT) in California with three years of practice as an LMFT. She helps people address stress, anxiety, depression, relationship concerns, and related issues such as social anxiety and phobia and eating and body image struggles.
Her approach is conversational and goal-focused. Sessions begin by identifying what the person wants to change and which patterns get in the way. She uses clear techniques from Cognitive Behavioral Therapy and Solution-Focused Therapy to help people notice thoughts and try small changes that build confidence.
Sara also draws on Client-Centered and Mindfulness approaches to slow things down when emotions feel overwhelming. That means creating room in the session to notice physical reactions, thoughts, and sensations so those responses can be understood rather than acted on impulsively.
Over time she works on communication skills, attachment concerns, and patterns that affect relationships and work life. She supports people dealing with grief, trauma and abuse, obsessive or compulsive behaviors, and sleep or anger problems. She also addresses workplace stress, compassion fatigue, and challenges related to identity and LGBT concerns.
People can expect practical steps between sessions, such as behavior experiments or focused reflection, alongside conversations about life history when that helps clarify patterns. The work aims to increase clarity about what to do differently and to build simple, repeatable skills that fit into daily life.
Therapeutic approaches and working online
Sara combines Cognitive Behavioral Therapy and Client-Centered Therapy in ways that aim to be practical and direct. CBT focuses on identifying unhelpful thoughts and testing new behaviors, which can help with anxiety, phobias, mood problems, and sleep issues. Client-Centered Therapy emphasizes being heard and understood so someone can reflect on their experience and make choices from a clearer place.She also uses Mindfulness techniques to help people notice physical sensations and emotional reactions without acting on them immediately. That can reduce reactivity and make it easier to try small changes in social situations or relationships.
Finding the right mix of approaches is part of the work. The therapist will discuss goals, preferences, and what methods feel most useful, and then adapt the plan together with the client. This is a collaborative process rather than a fixed prescription.
The original biography did not specify which online session formats are offered, so please confirm the available options before booking. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time so appointments can occur between work or family commitments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
3+ years
Listed in
California
Languages
English
Frequently asked questions
What kinds of problems does she help with?
Sara works with stress, anxiety, depression, relationship issues, eating and body image concerns, and related areas such as social anxiety and phobia and trauma.
What is her therapy style like?
She uses a conversational, goal-focused style combining Client-Centered listening with CBT and solution-focused techniques to create practical steps.
How much experience does she have?
She has three years of clinical experience as an LMFT practicing in California.
What credential does she hold and where does she practice?
She is a California LMFT and practices in California.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
The original biography did not list specific session formats; please confirm current session options before booking.
How are costs handled?
Costs vary with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.