Sarah Mailhot , LICSW

Sarah Mailhot is a licensed social worker practicing in Rhode Island with 18 years of clinical experience. As a LICSW - Licensed Independent Clinical Social Worker - they combine practical skills and deep respect for each person's experience to support people navigating stress, anxiety, anger, depression, ADHD, and concerns related to sexual and gender identity. They also work with issues such as attachment concerns, caregiver stress, chronic illness and pain, codependency, communication and family of origin challenges, guilt and shame, and questions about life purpose.

Sarah approaches care with sensitivity and compassion, tailoring conversation and treatment plans to match individual needs rather than using a one-size-fits-all method. They draw on established therapeutic methods to help clients build insight, develop coping skills, and pursue meaningful change at a pace that fits their life. Beginning therapy can feel like a big step, and they honors that courage while partnering with each person to set clear, realistic goals and practical steps toward them.

Sarah aims to create an environment where people feel seen, heard, and supported as they work through immediate concerns and longer-term questions about relationships, identity, and wellbeing.

Therapeutic Approaches and Online Care with Sarah Mailhot

Sarah commonly draws on Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) alongside a client-centered stance. ACT focuses on helping people clarify their values and take committed action even when difficult thoughts or feelings are present - it can be useful for chronic worry, life transitions, and persistent stress. CBT helps identify and shift unhelpful thinking and behavior patterns to reduce symptoms of anxiety and depression and to build practical coping skills. Client-centered therapy emphasizes empathic listening and collaboration so that the pace and goals of work reflect each person’s priorities and strengths.

Finding the right approach is part of the therapeutic process. Sarah works collaboratively with clients to explore which methods feel most helpful, adapting techniques to match individual goals, preferences, and life circumstances rather than insisting on a single model.

Online sessions offer flexible ways to connect - video calls, phone sessions, live chat, or text-based messaging - which can make it easier to fit therapy into a busy life or to continue care from home. These options support consistent, ongoing work while allowing clients and therapists to choose the formats that best support progress.