About Sarah
Sarah Bulwinkle is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with over 22 years of experience. She focuses on common struggles like anxiety, depression, stress, and mood disorders and helps people facing trauma, parenting challenges, and relationship strain. She has worked across inpatient psychiatric settings and outpatient care, including in-home therapy and crisis assessments.
That range means she is familiar with both sudden crises and long-term concerns. She also supports people dealing with addictions, OCD, ADHD, grief, and eating or sleeping problems.
Background and approach
Her approach blends practical, skills-based work with attention to each person’s story. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) inform much of her work, and she often uses mindfulness and solution-focused techniques to build coping skills. Motivational Interviewing helps when people want change but feel stuck.
Sessions are tailored to a person’s goals. She listens, clarifies what matters most, and then offers concrete strategies to reduce symptoms and improve daily functioning. Goals can include managing panic, handling stress, improving sleep, or coping after trauma.
Sarah aims to make therapy straightforward and usable. She supports people who want clear steps and tools they can practice between sessions. Her style is direct and compassionate, focused on helping clients make steady progress toward the changes they want to see.
Practical approaches for online care
Sarah commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy to guide online work. CBT focuses on identifying unhelpful thoughts and testing them with real-life experiments to reduce anxiety and mood symptoms. DBT teaches concrete skills for emotion regulation, distress tolerance, and improving relationships when strong feelings get in the way.She also draws on mindfulness practices to help people notice their moment-to-moment experience without judgment, and on Motivational Interviewing to boost readiness for change. Choosing the right approach is a collaborative process; the therapist will discuss goals, try strategies together, and adjust plans based on what helps most.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for longer therapy sessions and skill teaching. Phone sessions can be simpler when bandwidth is limited. Live chat or messaging can support short check-ins, skill practice, or ongoing coaching between sessions. These options make therapy more flexible and easier to fit into work, caregiving, or travel schedules while still focusing on real progress.
Questions people ask
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What this therapist works with
Most often
- Family conflicts
- Trauma and abuse
- Parenting issues
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Coaching
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating disorders
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- LGBT
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
Therapeutic approaches
- Experience
- 22 years
- Licensed
- Massachusetts
- Languages
- English
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