Sara Markham , LMFT

Sara Markham is a licensed marriage and family therapist who brings a warm, practical approach to therapy. She focuses on helping people clarify goals, build self-confidence, and improve the way they relate to others. Sara uses empathy and close listening to understand each person's history and current needs. She works from California and holds the LMFT credential. Sara blends several therapy methods to meet people where they are. Sessions often focus on concrete skills like communication, coping with stress, and managing anxiety. She also supports people navigating grief, eating and body image concerns, workplace stress, and relationship challenges. Her approach emphasizes the therapeutic relationship as the place where change happens. By offering steady attunement and clear feedback, she helps clients notice unhelpful patterns and try new ways of responding. That practical focus can make early progress noticeable in everyday situations. Mindfulness and thought-focused techniques are used to help people gain control over anxious or compulsive patterns. At the same time she draws on insight-oriented work to connect current difficulties with past experiences when that feels useful for the client. Sara also pays attention to life transitions and coaching-style goals. People come to her for help with depression, ADHD-related concerns, intimacy issues, addiction, and compassion fatigue. She includes women's issues among her areas of focus and supports people exploring gender and sexual orientation concerns. Her style is direct but compassionate. Sessions aim to be practical, understandable, and suited to each person's pace and priorities.

Therapeutic approaches and online care that fit your life

Sara often uses cognitive behavioral therapy to help people identify unhelpful thoughts and shift behaviors that keep problems going. CBT is useful for anxiety, mood concerns, compulsive patterns, and many everyday stresses. She also draws on mindfulness therapy to teach simple attention and breathing practices that reduce reactivity and improve present-moment focus.

She treats finding the right approach as a collaborative process. Together the therapist and client will try strategies, reflect on what helps, and adjust the plan based on the client's goals and preferences. The goal is to find tools that feel helpful and realistic for day-to-day life.

Online therapy is offered by video calls, phone sessions, live chat, and text-based messaging to give practical options. Video is good for more in-depth work and visual cues. Phone sessions can work when bandwidth is limited or a camera feels too much. Live chat and messaging allow shorter check-ins, written reflection, or scheduling flexibility. These formats make it easier to fit therapy into busy schedules and to use approaches like CBT and mindfulness in real time.