Sara Markham , LMFT

Sara Markham approaches therapy with empathy and intuition, offering compassionate, individualized care that honors each person’s struggles, hopes, history, and goals. She focuses on building authentic therapeutic relationships that make it possible for clients to gain confidence and believe that change is achievable.

Drawing on a blend of clinical techniques, Sara meets clients where they are and helps them clarify goals, strengthen self-confidence, and create more intentional, effective ways of relating. She works collaboratively to improve communication skills, open pathways for honest expression, and support people as they seek greater understanding of themselves and others. Her practice addresses a wide range of concerns including stress, anxiety, relationship and family issues, eating and body image concerns, self-esteem and mood disorders, trauma and grief, addictions, LGBT-related matters, intimacy issues, sleep difficulties, anger, ADHD, and coping with life changes.

Sara holds an LMFT credential - Licensed Marriage and Family Therapist - and is licensed in California (CA LMFT 44713). She brings three years of clinical experience to her work and integrates research-informed ideas about attention and the mind to help clients gain insight into internal processes. Through empathic attunement and a focus on the therapeutic relationship, Sara guides clients toward practical shifts in how they relate to themselves and others, supporting lasting, meaningful change.

Therapeutic Approaches and Online Care

Sara Markham integrates client-centered therapy, cognitive behavioral therapy (CBT), and mindfulness therapy into her online practice. Client-centered therapy emphasizes empathic listening and collaboration, helping clients explore their values and strengthen self-understanding so they can make choices that align with their goals. Cognitive behavioral therapy focuses on identifying and changing unhelpful thinking and behavior patterns, which can reduce symptoms of anxiety, depression, and other mood concerns. Mindfulness therapy teaches present-moment awareness and simple attention practices that can help with stress management, emotional regulation, and coping with difficult thoughts.

Finding the right approach is part of the therapeutic process, and Sara works collaboratively with clients to determine which methods best fit their needs, goals, and preferences. She tailors strategies over time, combining techniques from different approaches when that supports progress and aligns with the client's priorities.

Online therapy offers flexibility and accessibility, allowing clients to meet by video call, phone, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access support from licensed professionals and therapists without geographic constraints.