Sara Markham , LMFT

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) practicing in California. She holds license CA LMFT 44713 and brings three years of clinical experience helping individuals, couples, and families navigate stress, relationship struggles, mood concerns, and life transitions.

She works from a foundation of empathy and attuned listening, aiming to understand each person's history, hopes, and goals. By building a collaborative therapeutic relationship, she supports clients in clarifying priorities, strengthening communication, and recovering a stronger sense of self. Her practice combines client-centered care with evidence-informed techniques so interventions fit each person rather than a one-size-fits-all model.

Sara’s scope includes stress and anxiety, depression, relationship and intimacy issues, eating and body-image concerns, addictions, trauma and abuse, grief, ADHD, self-esteem and identity work, and family dynamics. Additional focus areas include attachment difficulties, communication problems, divorce and separation, obsessive-compulsive patterns, phobias, seasonal mood changes, self-harm, social anxiety, women’s concerns, and workplace challenges.

She also brings experience working with teens and adults, helping them set achievable goals and use practical strategies alongside deeper reflection. Her approach balances compassionate listening with concrete tools so clients can make intentional changes and recognize progress early in the therapeutic process.

Therapeutic Approaches and Online Care

Sara Markham integrates client-centered work, cognitive behavioral techniques, and mindfulness practices into her online sessions. Client-centered therapy focuses on empathic listening and supporting clients to discover their own solutions - it is especially useful for relationship concerns, self-esteem, and life transitions. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and behaviors and teaches practical skills for managing anxiety, depression, compulsive patterns, and eating-related challenges. Mindfulness therapy cultivates present-moment awareness and emotion regulation, which can reduce stress, improve sleep, and support recovery from trauma-related reactions.

Finding the right approach is part of the process. Sara collaborates with each person to assess needs, goals, and preferences, and adjusts techniques over time so therapy fits the individual. That collaborative stance helps clients see what works best for them and refine the plan as progress unfolds.

Online sessions offer flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life changes, and engage with licensed professionals from different settings while focusing on meaningful, practical work.