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Sara  Markham

Sara Markham

California

Compassionate therapist focused on practical change

  • 3 years' experience
  • English
Continue with Sara

Review online therapy options and next steps on BetterHelp.

Credentials
LMFT
License
LMFT, California · 44713
NPI
1881839272
Based in
California
  • Sleep and rest support
  • Goal oriented
  • Mindful and practical

About Sara

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) practicing in California. She brings a patient, empathic presence to sessions and focuses on helping people who are dealing with stress, anxiety, sleep difficulties, relationship concerns, and other life challenges.

She aims to build a trusting therapy relationship where clients feel heard and understood. Sessions focus on clear goals, improved communication, and practical steps clients can use between meetings. Sara emphasizes helping people find more confidence and clearer ways to express their needs.

Her work draws on several therapeutic approaches to match each person’s needs. She often uses client-centered conversation to explore what matters most, cognitive behavioral ideas to shift unhelpful patterns, and mindfulness practices to manage strong emotions and sleeping troubles. She also brings psychodynamic and solution-focused tools when they fit the situation.

With three years of clinical experience and a California LMFT credential, she combines attention to feelings with concrete strategies. That combination is intended to help people notice small changes that add up over time. Sara invites clients to take manageable steps toward better rest, clearer relationships, and steadier mood.

Her sessions also address related areas such as body image, eating and food-related issues, trauma and grief, workplace stress, ADHD, compassion fatigue, and sexual or intimacy-related concerns. People seeking help with sleep and rest may find practical supports and skills integrated into ongoing therapy.

Therapeutic approaches and how they work online

Client-centered therapy focuses on listening and building understanding so the client feels accepted and can explore what matters most. It helps people clarify goals and gain confidence in their choices.

Cognitive behavioral therapy (CBT) looks at the link between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns. This approach is often used for anxiety, mood concerns, and sleep-related habits.

Mindfulness therapy teaches attention and awareness skills to reduce reactivity and support calmer responses to stress and sleeplessness. These practices can help when emotions or worries get in the way of rest.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and how each method might help, then adjust the plan based on what’s working. That collaborative process aims to match tools to the person’s needs rather than impose a single method.

Session formats were not specified in the provided biography, so please confirm available options before booking. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for consistent check-ins during transitions or stressful periods. Clients often find that working this way supports steady progress and makes it simpler to practice new skills between meetings.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesEating disordersSelf esteemDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersAnger managementCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Attachment issuesBody imageCommunication problemsDivorce and separationEating and food-related issuesMood disordersObsessions, compulsions, and OCDPhobiasSeasonal Affective Disorder (SAD)Self-harmSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

3+ years

Credentials

California

Languages

English

Frequently asked questions

What kinds of problems does she help with?

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

What is her therapeutic style like?

She combines a warm, client-centered way of talking with practical tools from cognitive behavioral and solution-focused approaches. Mindfulness and psychodynamic ideas are used when helpful.

How much clinical experience does she have?

She has three years of experience as a practicing therapist and holds a California LMFT credential.

Where is she based and licensed?

She is licensed in California as an LMFT and provides services from that state.

Can I work with her if I live outside the United States?

Sessions are offered in English and she is not currently accepting international clients.

What session formats are available?

The original biography does not list specific session formats, so please confirm current session options before booking.

How are fees handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What do I do to get started?

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

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