About Sarah
Sarah Thomas is a licensed marriage and family therapist with 16 years of experience helping people who feel overwhelmed by stress, anxiety, or depression. She works with individuals who are struggling with relationship tensions, fear and panic, or the lasting effects of trauma and abuse.
Her approach is straightforward and respectful, aimed at helping people feel steadier and more capable in everyday life. She sees each person as the expert on their own life and starts by listening closely to what matters most.
Background and approach
Sessions focus on practical steps that fit into a client’s routine, such as learning skills to manage panic, rehearsing clearer ways to speak with others, or identifying patterns that keep someone stuck. Sarah blends several methods to match a client’s needs. She uses Cognitive Behavioral Therapy to spot and change unhelpful thought patterns.
Client-Centered Therapy guides sessions with empathy and collaboration. Narrative Therapy can help people reframe painful stories that hold them back. In practice she helps people address common concerns like abandonment fears, control issues, guilt, isolation, and low self-worth.
Work might include short-term problem solving or deeper exploration of past experiences that affect current mood and behavior. She offers honest, down-to-earth support and focuses on small, achievable changes. Taking the first step into therapy can feel hard, and Sarah aims to make the process clear and manageable for each person who reaches out.
How therapy approaches translate to online care
Client-Centered Therapy focuses on listening and building a respectful relationship. In online sessions this means the therapist follows the client's lead, reflects their experience, and helps clarify what matters most. It is useful for people who need acceptance and a calm space to sort feelings.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact. Online CBT often includes short skill-building exercises, homework between sessions, and step-by-step work to reduce panic, social anxiety, or depressive thinking. It suits people who want concrete tools to manage symptoms.
Finding the right approach is part of the work together. The therapist will discuss goals, try methods that match those goals, and adjust the plan as needed. Clients collaborate on what feels helpful and what needs to change.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and visual cues, phone calls can be easier when bandwidth is low, and text or chat work well for brief check-ins or when someone prefers writing. These options make therapy more flexible so it can fit around work, school, or family life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
Therapeutic approaches
- Experience
- 16 years
- Licensed
- California
- Languages
- English
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