Sara Markham

Sara Markham is a licensed marriage and family therapist (LMFT) based in California. She combines empathy and listening to help people feel heard and begin making changes they want. Her focus includes eating and food-related issues alongside anxiety, stress, relationship concerns, and mood differences.

She draws on several therapy approaches to meet people where they are. Sessions center on building a trusting relationship and clear, practical goals. Sara helps clients name what matters most, practice better communication, and regain confidence in everyday life.

Sara uses techniques that encourage greater self-awareness and clearer thinking. She works with clients to understand patterns that maintain worry, low mood, or difficult habits. Over time this helps people try new ways of coping and relating.

Her background is in marriage and family therapy and she holds a California LMFT credential. She has three years of clinical experience working with adults on issues like trauma, grief, addictions, and body image concerns.

In sessions she focuses on what the person wants to change now and the small steps that move them toward that goal. The approach is collaborative - clients set priorities and pace. The aim is better day-to-day functioning, improved relationships, and clearer self-understanding.

How therapeutic approaches guide online work

Sara often uses client-centered therapy, which means she follows the person's lead and focuses on understanding their experience to build trust and direction. This approach helps when someone needs a calm space to sort feelings and set priorities.

She also uses cognitive behavioral therapy (CBT) to help people notice and change unhelpful thoughts and behaviors. CBT is practical and goal-oriented, and it can be useful for anxiety, mood differences, and some eating-related patterns.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful. Clients and therapist decide collaboratively which methods to try and adjust them over time as needs change.

Session formats are not listed in the biography, so please confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy life, cut travel time, and allow shorter check-ins when schedules are tight. Many people find that remote sessions help them keep continuity of care while juggling work, family, and other commitments.