About Sara
Sara Markham is a licensed marriage and family therapist in California. She brings three years of professional practice to sessions and focuses on helping people manage stress, anxiety, mood concerns, and relationship and eating issues. Sara aims to build a trusting therapeutic relationship so clients can feel understood and make steady changes.
She meets people where they are and uses several therapy approaches to tailor support. Sessions address practical goals like clearer communication, healthier coping with anger, better sleep, and managing cravings or compulsions.
How Sara works
She also helps people work through grief, trauma and abuse, and identity-related concerns including LGBT issues. Sara combines client-centered care with techniques from cognitive behavioral therapy and mindfulness to help clients notice patterns and try new ways of responding. She also draws on psychodynamic ideas to look at recurring relationship patterns and solution-focused strategies to set short-term goals.
These approaches are mixed to match each person’s needs and priorities. In session she focuses on concrete steps - clarifying goals, practicing communication skills, and building habits that support mood and self-esteem. She supports people dealing with workplace stress, compassion fatigue, and life transitions such as divorce and separation.
Body image, obsessions and compulsions, seasonal mood shifts, and ADHD-related concerns are also areas she addresses. Sara works in English and offers video calls, phone sessions, live chat, and text-based messaging. Therapy uses a subscription model that can be canceled at any time, and services are provided within California.
Sara lists 5 ways of working on the entry:
What Sara works with
The areas below are the ones Sara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Sara's Approach Translates to Online Therapy
Client-centered therapy focuses on listening closely to each person and helping them feel heard so they can set their own goals; this approach helps with self-esteem, identity issues, and communication problems. Cognitive behavioral therapy (CBT) looks at the thoughts and behaviors that keep problems going and offers practical exercises and experiments to reduce anxiety, obsessive behaviors, and mood symptoms. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and improve sleep, stress management, and emotion regulation.Finding the right combination of these approaches is part of the work. Sara will collaborate with each person to choose methods that match their goals, needs, and daily routine. Together they set short-term aims, try techniques, and adjust the plan based on what feels most helpful.
Online sessions make it easier to fit therapy into a busy life. Video calls let people use visual cues for communication practice, phone sessions can be a good option when bandwidth is limited or a quicker check-in is needed, and live chat or text-based messaging support ongoing coaching, brief check-ins, or between-session reflections. These options give flexibility for different schedules and comfort levels while keeping the focus on practical steps and progress.
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Common questions
What kinds of concerns can be addressed in sessions?
How would therapy feel day to day?
What is Sara Markham's professional background?
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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