- Cognitive Behavioral Therapy
- DBT and Mindfulness
- Solution-Focused work
About Sarah
Sarah Bulwinkle is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 22 years of experience. She works with people facing anxiety, depression, mood disorders, trauma and a range of family and life stresses. Her background includes hospital work, outpatient care, and in-home therapy settings.
She has worked in inpatient senior psychiatric hospitals and handled crisis assessments in emergency rooms. She has provided outpatient and in-home individual therapy and addressed concerns such as OCD, ADHD, bipolar disorder, panic, and trauma-related difficulties. This variety gives her practical experience with both short-term crisis needs and longer-term treatment.
Her approach blends cognitive behavioral therapy (CBT) with narrative elements and also draws on dialectical behavior therapy (DBT), mindfulness therapy, motivational interviewing, and solution-focused techniques. Sessions focus on clear skills and steps - learning how thoughts, feelings, and behaviors connect, practicing coping skills, and shaping goals that matter to the client.
In sessions she helps people talk through parenting stresses, relationship strain, grief, addiction issues, and problems with sleep or eating. She also supports those working through family-of-origin issues, caregiver stress, divorce, and money-related anxiety. The work often includes skill practice, problem-solving and planning practical next steps.
To begin, clients complete a short matching questionnaire and schedule a first meeting. Sarah uses a subscription model that can be canceled at any time; costs vary by location. International clients may be accepted, and sessions are conducted in English.
How Sarah uses CBT, DBT and mindfulness in online sessions
Sarah commonly uses cognitive behavioral therapy to help clients notice and change unhelpful thought and behavior patterns. CBT sessions often include exercises to test beliefs, behavioral experiments, and clear homework to try between meetings. She also draws on Dialectical Behavior Therapy skills for emotion regulation, distress tolerance, and interpersonal effectiveness. DBT techniques are practical - breathing, grounding, and stepwise actions to manage strong feelings. Mindfulness therapy appears as brief attention and grounding practices aimed at reducing reactivity and improving focus. Finding the right mix of approaches is collaborative. The therapist will work with the client to choose methods that match goals, whether that means focusing on symptom reduction, building routines, or improving relationships. Adjustments are made as needs and preferences become clearer. Session logistics should be confirmed before booking since specific formats are not listed in the profile. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when needed. Clients are encouraged to ask about current session options and any practical arrangements when they set up the first appointment.Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with depression, anxiety, mood disorders, trauma, parenting and family stress, addictions, sleep and eating problems, and related concerns.
What is her therapy style like?
She mixes cognitive behavioral therapy with narrative approaches and uses DBT, mindfulness, motivational interviewing, and solution-focused techniques for practical skills and goal setting.
How much experience does she have?
She has 22 years of clinical experience across inpatient psychiatric hospitals, outpatient care, in-home therapy, and emergency room crisis assessments.
Where is she licensed and practicing?
She is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts.
Which languages are sessions offered in?
Sessions are offered in English and international clients are accepted.
What session formats are available?
Please confirm current session format options before booking, as the profile does not list specific formats.
How are sessions priced?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.