About Sarah
Sarah Mikael is a PACFA counsellor with ten years of clinical experience across Canada and Australia. She supports people who are dealing with stress, anxiety, relationship strain, trauma and abuse, low self-esteem and depression. Sarah uses a respectful and compassionate approach that aims to meet each person's needs.
She keeps conversations straightforward and practical. Sessions focus on what is happening now and on small, manageable steps a person can try between meetings.
Background and approach
Sarah adapts the pace and tone to what each person needs and values in therapy. Over her career she has helped people with related concerns such as abandonment, attachment difficulties, communication problems and caregiver stress. She also works with issues tied to chronic illness, neurodiversity and complex emotional responses after loss or change.
Sarah speaks English, Arabic, Pushto and Urdu, which makes it easier for some people to explain difficult experiences in their own words. She tailors a plan together with the person in front of her rather than using a one-size-fits-all method. Sarah recognises that starting therapy can be hard.
She aims to create a calm, non-judgemental space where people can talk through their worries and try practical strategies. The focus is on steady, realistic progress rather than quick fixes.
Evidence-based approaches and flexible online care
Sarah uses evidence-based therapeutic techniques that focus on clear skills and practical change. One common approach is skills-based work that teaches breathing, grounding and thought-challenging exercises to calm anxiety and manage stress. These techniques are useful when worry or panic feel overwhelming.Another helpful approach centres on processing difficult experiences in a paced way so they stop shaping day-to-day life as much. This can support people who have trauma or ongoing distress after abuse or loss, helping them reduce avoidance and improve daily functioning.
Finding the right approach is a joint process. The therapist will talk through goals and preferences, try strategies together, and adjust the plan based on what works. This collaborative method helps people feel more in control of their progress.
Online therapy offers practical benefits for busy lives. Video calls provide a near face-to-face conversation. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging suit people who prefer typing or want ongoing brief support between sessions. These formats increase flexibility, letting people fit care around work, caregiving and daily commitments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 10 years
- Licensed
- Languages
- English, Arabic, Pushto, Urdu
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