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Sara  Markham

Sara Markham

LMFT

Compassionate therapist focused on mindful change

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesEating disordersSelf esteemDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersAnger managementCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Attachment issuesBody imageCommunication problemsDivorce and separationEating and food-related issuesMood disordersObsessions, compulsions, and OCDPhobiasSeasonal Affective Disorder (SAD)Self-harmSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

3+ years

Credentials

California

Languages

English

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindful attention
  • Relationship focus
  • Goal oriented

About Sara

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) based in California. She brings a warm, attentive approach and aims to help people feel understood and move toward change. Her work centers on building a strong therapeutic relationship so clients can find clearer ways to reach their goals.

Sara meets people where they are and uses a mix of approaches to fit each person. She helps clients clarify goals, strengthen self-confidence, and improve communication with others. She also supports people managing mood concerns, stress, anxiety, and changes that feel overwhelming.

In sessions she focuses on listening closely and helping clients notice patterns that keep them stuck. That includes looking at attachment and relationship habits, body image and eating concerns, and how past experiences shape present behavior. She names specific feelings and interactions so people can begin to try new responses.

Sara also draws on mindfulness-based ideas to help people pay attention to their internal world and respond with more clarity. She uses practical tools from cognitive behavioral approaches to shift unhelpful thinking and build different behaviors over time.

The overall aim is to help clients make tangible changes in everyday life - at work, in relationships, and with themselves. The therapist encourages steady steps, focused work, and clear goals so changes feel achievable and lasting.

How Mindful and Practical Approaches Work Online

Sara uses Mindfulness Therapy to help people notice their thoughts, feelings, and bodily states without getting swept away by them. That attention can reduce reactivity and help with anxiety, stress, eating issues, and mood problems.

She also draws from Client-Centered Therapy, which means sessions emphasize empathetic listening and helping clients feel heard so they can explore what matters most to them. Cognitive Behavioral Therapy (CBT) adds practical tools for spotting unhelpful thoughts and testing new behaviors, which is useful for anxiety, mood challenges, and everyday coping.

Finding the right approach is a collaborative process. The therapist will work with each person to identify goals, try different techniques, and adjust the plan as progress is made. Clients are encouraged to say what helps and what doesn’t so sessions stay focused and useful.

Confirm current session options before booking so you know how sessions are scheduled. Online work can make it easier to fit therapy into a busy day, shorten commute time, and use brief check-ins when a full session isn’t needed. Different approaches translate well to remote work, and the focus remains on practical steps and mindful attention that fit into daily life.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What kinds of problems can I bring to therapy here?

Sara works with a wide range of concerns including stress, anxiety, depression, addictions, eating and body image issues, relationship and communication problems, grief, trauma and more.

How would you describe the therapeutic style?

The style is warm and attuned, combining client-centered listening with structured techniques to clarify goals and build new skills.

What is Sara's background in therapy?

She has three years of professional experience and emphasizes building strong therapeutic relationships to support change.

Where is the therapist licensed and practicing?

Sara holds an LMFT license in California and practices with that credential within the state.

Are sessions available in other languages or internationally?

Sessions are offered in English and international clients are not currently accepted.

What session formats are offered?

Please confirm current session options before booking so you know which formats are available for scheduling.

How are fees and payment handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin if I want to work together?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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