Sara Markham, LMFT

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) based in California. She brings three years of professional experience and a focus on helping people manage stress, anxiety, relationship concerns, eating and body image issues, and life transitions.

Sara blends practical talk with close listening. She works to understand each person's history and goals, then helps them set clear steps to move forward. Sessions often focus on improving communication, building self-confidence, and spotting patterns that get in the way of change.

Her approach uses tools from cognitive behavioral therapy, client-centered work, mindfulness, psychodynamic thinking, and solution-focused techniques. That mix lets her tailor sessions to immediate problems and longer-standing patterns. People can expect both skills-based practice and space to reflect on deeper feelings.

Sara also addresses addictions, trauma and abuse, grief, sleep problems, anger, compassion fatigue, ADHD, and workplace stress. She supports those dealing with intimacy concerns, obsessive thoughts, phobias, seasonal mood shifts, self-harm urges, and women's issues.

Sessions are offered in English and provided online by video, phone, live chat, or text messaging. Therapy fees vary by location and are billed through a subscription that can be canceled at any time. To begin, select the Start Therapy button and complete the short matching questionnaire to schedule a session.

How therapy approaches work online

CBT, or cognitive behavioral therapy, focuses on the links between thoughts, feelings, and behaviors. It uses practical exercises and homework to reduce anxiety, improve mood, and change unhelpful habits. Client-centered therapy puts the person's experience at the center of sessions. The therapist offers empathetic listening and reflection to help people feel understood and develop their own solutions.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals and preferences. That might mean starting with short, solution-focused steps and adding deeper exploration over time as needed.

Online therapy offers flexible ways to meet. Video calls let people talk face to face, phone sessions can work when bandwidth is limited, live chat supports brief check-ins, and text messaging helps keep progress between sessions. These options make it easier to fit therapy into busy lives and to keep momentum when schedules change.