Sara Markham, LMFT - Therapist in California

About Sara

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) based in California with three years of professional experience. She focuses on helping people manage stress, anxiety, mood difficulties, and relationship challenges. Sara uses a warm, empathetic style to make conversations feel safe and straightforward.

She speaks English and provides services through online formats like video, phone, live chat, and text. Sara blends several practical therapy methods to match what each person needs.

Background and approach

She draws on client-centered work to listen closely and help clients feel heard. She uses cognitive behavioral techniques to spot unhelpful thinking and try out new behaviors. Mindfulness practices are used to help calm overwhelming feelings and increase present-moment awareness.

In sessions she focuses on clear goals and small steps. That can look like practicing communication strategies, sorting out how eating and body image affect daily life, or building routines to improve sleep and mood. She also addresses trauma, grief, intimacy-related concerns, and issues like addiction or attention differences when relevant.

Sara integrates ideas from psychodynamic and solution-focused approaches to help people understand patterns and find immediate, practical changes. Her work pays attention to attachment, self-esteem, coping with life changes, and workplace stress. She aims to help clients notice patterns and try new ways of relating to themselves and others.

To begin, potential clients follow the site process to match and schedule a first appointment. Sessions use a subscription model that can be canceled at any time.

Practical therapy approaches for online care

Sara commonly uses cognitive behavioral therapy and mindfulness in her online practice. Cognitive behavioral therapy (CBT) focuses on noticing unhelpful thoughts and testing new behaviors, which helps with anxiety, mood issues, and habits around eating or sleep. Mindfulness therapy teaches simple attention and breathing skills to reduce reactivity and build steadier focus for everyday stress.

She also draws on client-centered principles that prioritize listening and responsiveness. That approach centers the person in the room, helps people feel heard, and guides the therapist to shape sessions around each client's goals. Choosing the right mix of methods is a collaborative process - Sara will work with clients to decide which approaches fit their needs and preferences as therapy unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy schedules and to continue work from home or while traveling within the therapist's region. The different formats also allow for flexibility in how clients engage - some use video for deeper conversations and text or chat for quick check-ins between sessions.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Mindfulness Therapy

Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.

Frequently asked questions

What concerns does this therapist address?

Sara works with a wide range of concerns including stress, anxiety, depression, relationship and intimacy issues, eating and body image struggles, grief, trauma and abuse, sleeping problems, and addictions.

What is her therapy style like?

Her style is empathetic and practical. She listens closely, sets clear goals, and uses hands-on strategies so clients can try changes between sessions.

How much clinical experience does she have?

She has three years of professional experience as a licensed therapist working with the listed concerns and approaches.

What credentials and region apply to her practice?

She is a Licensed Marriage and Family Therapist - CA LMFT 44713 - and practices from California.

Which languages are supported and are international clients accepted?

Sessions are offered in English and international clients are not currently accepted.

What session formats are available?

Therapy sessions are offered via video calls, phone sessions, live chat, and text-based messaging.

How is cost handled?

Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I start working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Eating disorders

Also works with

Therapeutic approaches

Experience: 3 years
Licensed: California
Languages: English

Next step

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