Sara Markham

Empathetic therapist focused on practical change

LMFT California

Experience: 3 years in practice
Focus areas: Stress, Anxiety, Relationship, Eating
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Sara

Sara Markham brings a focused, compassionate approach to therapy rooted in an understanding of each person's history, goals, and struggles. She emphasizes building a strong therapeutic relationship that allows clients to explore patterns, develop self-awareness, and work toward meaningful change.

Background and approach

With an emphasis on empathy and attunement, Sara supports clients in clarifying priorities, strengthening communication, and reclaiming confidence. Licensed as an LMFT in California (CA LMFT 44713), she draws on a variety of methods to meet people where they are and tailor care to individual needs.

Her practice addresses concerns such as stress, anxiety, mood difficulties, relationship and intimacy issues, eating and body-image struggles, trauma and grief, substance concerns, ADHD, and workplace or life transitions. Sara helps clients identify practical steps and new ways of relating so they can practice different choices in daily life.

She works collaboratively to create a therapy process that honors each person’s preferences and pace, integrating cognitive, mindful, and insight-oriented tools to support both short-term goals and deeper exploration.

Therapeutic Approaches and Online Care

Two key approaches Sara uses are Cognitive Behavioral Therapy and Client-Centered Therapy. CBT focuses on identifying and adjusting unhelpful thoughts and behaviors, offering practical tools useful for anxiety, mood issues, obsessive or compulsive patterns, and many everyday challenges. Client-centered work emphasizes empathic listening and building a strong therapeutic relationship to help clients feel understood and to support self-exploration and growth.

Mindfulness Therapy is also woven into her work, using attention and present-moment awareness to reduce reactivity and build emotional regulation skills that support coping with stress, grief, or eating-related concerns. These methods are presented in clear, accessible ways so clients can experiment with techniques between sessions and notice what feels most helpful.

Finding the right combination of approaches is a collaborative process. The therapist will work with each person to identify goals, try different strategies, and adjust methods based on what aligns with the client's needs and preferences. This joint exploration helps shape a personalized plan rather than prescribing a single path.

Online therapy offers flexibility through video, phone, live chat, or text-based messaging so clients can fit care into busy lives and maintain continuity during transitions. These options make it easier to access consistent support, practice new skills in real time, and stay engaged with therapy even when schedules or locations change.

Frequently asked questions

What concerns does this therapist commonly address?

Sara works with a broad range of issues including stress, anxiety, depression, relationship and intimacy concerns, eating and body-image problems, trauma and grief, addictions, ADHD, workplace difficulties, and related mood or phobia challenges.

What is the therapeutic style and approach used in sessions?

The approach blends client-centered listening with cognitive behavioral techniques, mindfulness practices, psychodynamic exploration, and solution-focused strategies to help clients set goals and try practical changes.

How much clinical experience does the therapist have?

The clinician has three years of documented professional experience working with clients and applying a mix of therapeutic methods to support change.

What are the therapist's credentials and where are they based?

She is a licensed marriage and family therapist with the credential CA LMFT 44713 and provides services from California.

Does the therapist offer services in multiple languages or to international clients?

Services are offered in English, and international clients are not currently accepted.

In what formats are sessions available?

Clients may connect through video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.

How is cost handled for sessions?

Cost varies based on location and therapist availability; services are provided through a subscription model that can be canceled at any time.

What are the steps to begin working together?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesEating disordersSelf esteem Depression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuse GriefIntimacy-related issuesSleeping disordersAnger managementCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

Attachment issuesBody imageCommunication problemsDivorce and separationEating and food-related issuesMood disorders Obsessions, compulsions, and OCD PhobiasSeasonal Affective Disorder (SAD)Self-harm Social anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

3+ years

Licensed

California

Languages

English