Sara Markham, LMFT

Sara Markham is a licensed marriage and family therapist (LMFT) based in California. She brings three years of professional experience and focuses on helping people manage stress, anxiety, mood concerns, and relationship problems. Her style is warm and attentive, aiming to build a trusting connection so people feel heard and understood from the start.

She works with a range of issues including eating and body-image concerns, grief, trauma and abuse, ADHD, and addiction-related struggles. Sara also supports people dealing with workplace stress, compassion fatigue, sleep problems, and self-esteem challenges. Her approach is practical and goal-oriented, centered on helping clients make small, steady changes in daily thoughts and habits.

Sara uses a mix of client-centered methods, cognitive behavioral strategies, mindfulness, psychodynamic ideas, and solution-focused techniques. In sessions she helps clients identify unhelpful thought patterns, try new coping skills, and practice more helpful ways of relating. She encourages clear communication and actionable steps so progress feels tangible.

Her work includes attention to attachment, communication problems, intimacy concerns, and issues that show up after separation or divorce. For people with obsessive or compulsive experiences, phobias, or seasonal mood shifts, she offers structured work that targets specific patterns. She also supports those navigating women’s issues, social anxiety, and self-harm concerns.

Sara aims to collaborate with each person to set clear goals and track change over time. To begin, she asks people to name priorities and then focuses sessions on practical skills and insight that fit everyday life.

Approaches that guide online work and habit change

Client-centered work puts the person’s experience first and focuses on listening, reflection, and building trust so people can clarify what matters to them. It helps when the main goal is to feel understood and find motivation for change.

Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions. It helps people spot unhelpful thinking, try different responses, and practice new habits for anxiety, mood, or obsessive patterns.

Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and improve focus. It can be useful for stress, emotional regulation, and noticing habits before they lead to difficult behavior.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before, then try techniques that match those needs. Plans are adjusted over time based on what proves helpful.

If you are interested in online sessions, please confirm the current session options before booking. Many people find online therapy helps fit sessions into a busy week, reduces travel time, and allows shorter check-ins when needed. Talk with the therapist about which format suits your schedule and daily routine.