SK Portrait of Sarah Karamat

Sarah Karamat, LCSW

Calm, practical support for anxiety and stress

19 years in practice · based in California · sessions in English · online sessions

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About Sarah

Sarah Karamat is a Licensed Clinical Social Worker with 19 years of experience. She focuses on helping people who are feeling overwhelmed by stress or anxiety. She also supports those working through relationship strain, parenting challenges, anger, and major life changes.

She uses straightforward, respectful conversation to understand what matters most to each person. Sessions are shaped around an individual's needs, not a single formula. Sarah aims to create a calm space where people can sort through emotions and practical next steps.

Book with Sarah Now Review online therapy options and next steps.

Background and approach

Her work includes addressing caregiver stress, communication problems, and feelings of isolation. She helps clients clarify values, rebuild self-love, and consider forgiveness when it fits their goals. Many clients find that talking through small changes leads to clearer choices and less reactivity.

Sarah blends practical problem solving with emotional support. She helps people develop coping strategies for daily stress and plans for managing anger as it arises. She encourages experiments between sessions so progress can be tested in everyday life.

People who want a steady, compassionate listener will find her approach direct but warm. She meets clients where they are and adjusts pacing to what feels manageable. Taking the first step can feel hard, and she offers steady guidance along the way.

How therapy methods translate to online care

Sarah uses evidence-based therapeutic techniques that focus on practical skills and emotional understanding. One common approach emphasizes building coping skills for anxiety and stress through short exercises and behavior adjustments; this helps people manage immediate symptoms and test new habits in daily life. Another approach centers on communication and relational work, teaching clearer ways to express needs and set boundaries to reduce conflict and improve connection.

Finding the right way of working is a collaborative process. The therapist will talk with each person about goals and preferences, then try methods that fit those needs. Together they will track what helps and adjust the plan if something feels off or isn’t producing the hoped-for results.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more workable with busy schedules. Video is useful for deeper conversations and visual cues, phone calls can fit into a short break, and chat or messaging can support quick check-ins and ongoing skill practice. These options let people fit therapy into daily life while testing approaches in real situations.
Book with Sarah Now Review online therapy options and next steps.

Questions people ask

What concerns does she address?
She helps with stress, anxiety, relationship strain, parenting concerns, anger, and adapting to life changes. Additional focus areas include caregiver stress, communication problems, isolation, self-love, forgiveness, and life purpose.
How does she approach therapy?
Her style is direct and compassionate, using conversation to identify goals and practical steps. Sessions focus on coping strategies, emotional clarity, and taking small experiments between meetings.
What is her professional background?
She holds a Licensed Clinical Social Worker credential and brings 19 years of professional experience supporting people with stress, anxiety, and related concerns.
Where is she licensed and based?
She is licensed as an LCSW in California and practices with that credential in mind for state-based care.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
She does not accept international clients at this time and works with people within her licensed region.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to suit different needs and routines.
How do fees and starting therapy work?
Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on availability.

What this therapist works with

Most often

Experience
19 years
Licensed
California
Languages
English

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