About Sarah
Sarah Mailhot is a Rhode Island licensed clinical social worker with 18 years of experience. Sarah works with people dealing with stress, anxiety, depression, anger, ADHD, and LGBT concerns. She emphasizes respect and sensitivity during sessions.
She aims to make the first step feel doable for anyone who reaches out. Sarah focuses on building a personal plan with each person. Sessions are shaped around what feels most useful for the individual.
Background and approach
She listens for patterns that keep problems going and helps people try new ways of responding. Her approach blends practical skills and reflective work. Sarah uses strategies from cognitive behavioral work to change unhelpful thoughts and behaviors.
She also draws on Acceptance and Commitment Therapy to help people clarify values and take meaningful action. Mindfulness and emotion regulation skills from dialectical behavior therapy are offered when they help reduce overwhelm. Client-centered and existential ideas guide the pace and topics of sessions.
This mix lets Sarah adapt to worries about anxiety, relationship stress, life purpose, or chronic health challenges. People also bring concerns such as caregiver stress, attachment or family-of-origin issues, codependency, gender dysphoria, HIV/AIDS, infidelity, and loneliness. Sarah works with those topics through steady, practical steps and collaborative planning.
The goal is to build habits that lower distress and increase what matters most. Sarah provides sessions in English and practices with attention to each person’s identity and experience. She encourages straightforward conversation about goals and progress so the work stays focused and useful.
Approaches that translate well to online sessions
Acceptance and Commitment Therapy helps people clarify what matters to them and take small steps toward those values. It focuses on accepting difficult thoughts while committing to meaningful action and can be useful for anxiety and life purpose questions.Cognitive Behavioral Therapy targets the links between thoughts, feelings, and behaviors. It offers practical tools to test unhelpful thoughts and change routines that maintain stress and depression. CBT exercises and worksheets adapt well to video and text formats.
Dialectical Behavior Therapy provides concrete skills for emotion regulation, distress tolerance, and clearer communication. Those skills can be practiced between sessions and reinforced via messaging or short phone check-ins.
Choosing the right approach is a collaborative process. The therapist will work with each person to match methods to their goals, needs, and preferences. This may mean starting with one approach and adding others over time to find what works best.
Online therapy offers flexible ways to connect: video calls for face-to-face work, phone sessions when bandwidth is limited, live chat for quicker check-ins, and text-based messaging for brief ongoing support. These options make it easier to fit sessions into busy days, continue skill practice between meetings, and stay connected when life gets hectic.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Anger management
Also listed
- ADHD
- Attachment issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Depression
- Family of origin issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Infidelity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Rhode Island
- Languages
- English
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