About Sarah
Sarah Mathis is a licensed social worker (LISW) based in South Carolina who draws on a warm, patient-centered style. She focuses on helping people manage stress, anxiety, addictions, mood challenges, and parenting concerns. Her approach aims to build practical skills and steady support for everyday life.
She uses client-centered work to meet each person where they are and to treat them as the expert on their own life. Cognitive Behavioral Therapy methods help identify thought and behavior patterns that can be shifted to reduce anxiety, low mood, and impulsive reactions.
How Sarah works
Mindfulness techniques are woven in to help with grounding and moment-to-moment coping. Sarah also uses motivational interviewing to help people find internal motivation for change, particularly around substance use and behavioral goals. Her background includes work with people experiencing trauma, grief, and relationship stress, so she brings experience in these areas to sessions.
She has six years of clinical experience as an LISW. Early in her training she supported school-aged clients around attention and behavioral concerns, and she is open to working with parents who want coaching and strategies for parenting challenges. She prefers to support parents and individuals rather than offering direct services to very young children online.
Her sessions aim to be practical and conversational. The focus is on clear goals, small steps, and building skills you can use between sessions.
Sarah lists 6 ways of working on the entry:
What Sarah works with
The areas below are the ones Sarah selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Parenting issues
Also listed
- ADHD
- Bipolar disorder
- Communication problems
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Trauma and abuse
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Training and background
| Register | LISW |
|---|---|
| Years in practice | 6 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | South Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches adapted for online care
Sarah commonly blends Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Mindfulness Therapy in sessions. Client-Centered Therapy focuses on listening closely and building a trusting, respectful relationship so clients can find their own solutions. CBT looks at how thoughts and actions influence mood and behavior and teaches practical exercises to change unhelpful patterns. Mindfulness Therapy teaches simple attention and grounding practices to reduce reactivity and manage stress in the moment.Finding the right approach is part of the work together. The therapist will help identify which methods fit the client's needs, goals, and preferences, and adjust strategies over time. That collaboration helps ensure sessions stay focused and useful for real-life challenges.
Online sessions are available by video call, phone, live chat, or text-based messaging to make care flexible. Video calls allow face-to-face conversation; phone sessions need less bandwidth and can be easier when a quieter space is possible. Live chat and text messaging work well for brief check-ins, coaching, or continuing work between sessions. These options let people fit therapy into busy schedules and use the format that feels most comfortable for them.
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Common questions
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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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