About Sarah
Sarah Mikael is a counsellor with 10 years of experience working in both Canada and Australia and holds PACFA credentialing. She helps people who are facing stress, anxiety, relationship strain, trauma and abuse, low self-esteem and depression. Her approach is respectful and compassionate and she adapts therapy to each person's needs.
She acknowledges that getting started takes courage and aims to make that first step easier. Sarah uses evidence-based therapeutic techniques and focuses on practical steps clients can try between sessions.
How Sarah works
She pays attention to how attachment, abandonment or adoption histories affect relationships and day-to-day wellbeing. She also works with people managing chronic illness, ageing concerns, caregiver stress and complex, co-occurring issues. Sessions are offered in English, Arabic, Pushto and Urdu to suit several language needs.
Sarah describes therapy as a conversation shaped by your goals and pace. She listens for patterns in communication, control issues, and commitment worries, then helps people try clearer ways of relating. Therapy can include learning skills for anxiety and stress, talking through past hurts, and planning realistic steps to rebuild confidence.
Sarah tailors the focus to what matters most to each person and checks in often to keep the work relevant. Her aim is practical progress in day-to-day life. People interested in working with Sarah choose how they meet and start by completing a short questionnaire and scheduling sessions that fit their availability.
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
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | PACFA |
|---|---|
| Years in practice | 10 |
| Languages | English, Arabic, Pushto, Urdu |
| Session format | Online: video, phone, live chat or messaging |
| Country | Australia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online care
Evidence-based cognitive and behavioural techniques focus on spotting unhelpful thinking and testing small changes in behaviour. These methods teach practical coping tools for anxiety, low mood and stress and often include short exercises to try between sessions.Trauma-informed talking approaches offer a calm, paced way to work through past harms and their effects on current relationships. This helps when worries, attachment issues or past abuse keep repeating in day-to-day life. The therapist will explain each option and tailor the approach to what you need.
Finding the right approach is a collaborative process. The therapist works with each person to decide which methods suit their goals, life demands and preferences. Adjustments are made as therapy progresses so the work remains useful and manageable.
Online sessions are offered by video call, phone, live chat and text-based messaging to make therapy fit different routines. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can be easier on days when you do not want to be on camera. Live chat and messaging support shorter check-ins or ongoing reflection when daily scheduling is tight. These options make it simpler to keep momentum and fit therapy into a busy life.
Start online instead of waiting
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Common questions
What kinds of concerns does Sarah help with?
What is her style and approach in sessions?
How much clinical experience does she have?
What credential does she hold and where is she based?
Which languages are available for sessions?
Can international clients work with her?
What session formats does she offer and how do they work?
How are sessions charged and how do I begin?
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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