Sally Millsap , LCSW

Sally Millsap, LCSW (Licensed Clinical Social Worker), brings more than 30 years of social work experience to her practice. She holds a Bachelor of Social Work from Graceland College with a minor in psychology and earned a Master of Social Work from the University of Iowa. Her career has been rooted largely in medical social work, with roles spanning four states and a wide range of clinical settings.

Early work included inpatient rehabilitation counseling for people recovering from strokes, spinal cord injuries, and head injuries. She later provided support in high-risk obstetrics and neonatal intensive care, working with drug-exposed infants, high-risk pregnant people, and NICU families while running a parent support group. During that time she also counseled women facing considerations around adoption, fetal loss, domestic violence, postpartum depression, and other pregnancy-related challenges.

After relocating to California 13 years ago, she joined a children’s hospital where she focuses on child protection work and co-facilitates a grief support group. She also supports parents of children with chronic medical conditions and helps families navigate major life transitions. Known for working effectively with diverse populations, she has experience with clients across the lifespan and addresses issues including trauma, grief, family and parenting concerns, addiction, anxiety, depression, relationship and intimacy matters, eating and anger issues, career stress, and caregiver challenges.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy, often called ACT, helps people notice difficult thoughts and feelings while clarifying values and taking meaningful action. It is useful for anxiety, stress, and coping with life changes because it focuses on building psychological flexibility and practical steps aligned with what matters to the person.

Client-Centered Therapy emphasizes a compassionate, nonjudgmental relationship in which the therapist listens and reflects so the client can explore their own solutions. This approach supports people facing grief, relationship concerns, parenting challenges, and broad life transitions by honoring each person’s perspective and pace.

Finding the right approach is part of the work itself. The therapist will collaborate with each person to determine which methods best match their needs, goals, and preferences, and may combine techniques from different approaches as appropriate.

Online therapy with licensed professionals offers flexible ways to connect - video calls, phone sessions, live chat, or text-based messaging - making it easier to fit care into busy schedules or when in-person visits are difficult. These options support ongoing access to therapy and allow therapists to adapt sessions to what works best for the individual.