Sara Markham , LMFT

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) practicing in California who blends empathic listening with thoughtful clinical techniques to support people facing a wide range of challenges. She creates a calm, attentive space where clients can explore their histories, clarify goals, and build the confidence needed to make meaningful changes in relationships, work, and daily life.

Sara meets each person where they are, tailoring her approach by combining client-centered care with methods drawn from cognitive behavioral and mindfulness practices. This allows her to address issues like stress, anxiety, depression, relationship difficulties, eating and food-related concerns, trauma, grief, and self-esteem with practical strategies and emotional attunement. She also works with teens, helping them feel heard so they can take positive steps toward change.

Sara draws on research about the brain and the mind to inform her work, emphasizing how increased self-awareness and what some clinicians call mindsight can shift unhelpful patterns of thinking and relating. She supports clients in understanding the function of behaviors such as disordered eating and guides them through recovery at a pace that fits their needs. Across her practice she prioritizes strong therapeutic connection, clear communication skills, and collaborative goal-setting to help clients move toward more intentional, satisfying ways of living. Sara holds a California license - CA LMFT 44713 - and brings three years of clinical experience to her practice.

Approaches That Guide Online Care and Growth

Sara Markham integrates client-centered therapy, cognitive behavioral therapy, and mindfulness practices into her online work to meet a variety of needs. Client-centered therapy emphasizes empathy and collaboration, helping clients feel heard and supported as they identify personal goals and strengthen self-understanding. Cognitive behavioral therapy (CBT) focuses on identifying and shifting unhelpful thoughts and behaviors, which can be especially useful for anxiety, depression, and stress-related concerns. Mindfulness therapy teaches present-moment awareness and practical techniques for managing emotion and reactivity, often helping people cope with rumination, stress, and patterns of avoidance.

Finding the right approach is part of the therapeutic process, and Sara works collaboratively with each person to determine which methods best match their goals, preferences, and everyday life. She adapts techniques over time so therapy stays relevant and effective for the client.

Online therapy with Sara is offered via video calls, phone sessions, live chat, and text-based messaging, providing flexibility for busy schedules and varied comfort levels. These options make it easier to maintain consistent care, access support from home, and choose the communication style that feels most helpful for progress.