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Sara  Markham

LMFT

Sara Markham , LMFT

Therapist in California

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Online therapy - get matched and start messaging.

About Sara

Sara Markham is a licensed LMFT - Licensed Marriage and Family Therapist practicing in California who blends compassion, intuition, and evidence-informed techniques to help clients move toward meaningful change. She approaches each person as unique, listening for the personal history, goals, and values that shape how they relate to themselves and others. Her work emphasizes building a strong therapeutic relationship so clients feel supported while exploring difficult topics such as stress, anxiety, relationship struggles, eating and body-image concerns, depression, trauma, grief, and life transitions.

Sara uses a flexible mix of clinical approaches to meet clients where they are, helping them clarify goals, strengthen self-confidence, and practice more effective ways of communicating. She guides clients through practical strategies as well as reflective work aimed at understanding patterns of thought and behavior. For people coping with eating-related issues, Sara focuses on the function of those behaviors and supports recovery in ways that restore clearer thinking and healthier routines.

Grounded in research about the brain and focused attention, Sara incorporates practices that increase self-awareness and the capacity to change longstanding relational patterns - a process sometimes described as mindsight. She partners with individuals, couples, and families to identify what matters most, cultivate greater emotional attunement, and create steps toward more satisfying relationships and daily functioning. With three years of clinical experience and a commitment to client-centered care, she helps people take intentional steps toward their goals.

Therapeutic Approaches and Online Care

Sara Markham integrates client-centered therapy, cognitive behavioral therapy (CBT), and mindfulness-based techniques into her online practice. Client-centered therapy focuses on empathetic listening and building a trusting relationship so clients can explore their values and goals and feel accepted while making changes. CBT helps identify and shift unhelpful thought patterns and behaviors through practical exercises and skills that address anxiety, depression, and relationship challenges. Mindfulness therapy trains attention to present-moment experience, teaching strategies that reduce reactivity, improve emotional regulation, and support recovery from patterns like compulsive eating or persistent worry.

Choosing the right approach is a collaborative process - Sara works with each person to find what aligns with their needs, goals, and preferences. She assesses what methods and techniques are likely to be most helpful and adjusts the plan as progress unfolds so therapy stays focused and relevant.

Online sessions are offered by licensed professionals and therapists using video calls, phone conversations, live chat, or text-based messaging. These options make scheduling more flexible and let clients engage in care from home or another comfortable setting. The variety of formats supports different preferences - some clients prefer the depth of video, while others find phone or messaging more practical for busy lives - and together they expand access to consistent, ongoing therapeutic support.

Frequently asked questions

How much experience does Sara Markham have?

Sara Markham has three years of clinical experience.

Is Sara Markham a licensed therapist?

Yes. She is an LMFT - Licensed Marriage and Family Therapist and is licensed in California as CA LMFT 44713.

In which languages does Sara Markham provide therapy?

Sara Markham provides therapy in English.

Where is Sara Markham located?

She is located in California.

How can I work with Sara Markham as my therapist?

You can work with Sara Markham through video calls, phone sessions, live chat, or text-based messaging.

Does Sara Markham work with international clients?

Sara Markham does not currently work with international clients.

How much does therapy with Sara Markham cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

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

Licensed

California

Languages

English

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