Sara Markham

Sara Markham is a Licensed Marriage and Family Therapist (LMFT) based in California who focuses on helping people manage anger and related struggles. She brings a calm, empathic style to sessions and aims to build a trusting relationship that makes change feel possible. Her work is straightforward and goal-oriented, centered on listening and practical steps clients can use outside sessions.

With three years of experience as an LMFT, she combines several therapy methods to match each person's needs. Sara helps people clarify goals, strengthen self-confidence, and improve how they communicate. She uses simple tools to help clients notice patterns and try new ways of responding to stress, conflict, and difficult emotions.

Sara draws on client-centered listening to understand what matters to each person. She also integrates cognitive behavioral ideas to identify unhelpful thoughts and behaviors, and mindfulness practices to increase present-moment awareness. These approaches are used to address concerns like anxiety, depression, relationship issues, eating-related struggles, and anger.

Sessions focus on building insight and practical skills. Clients looking for help with body image, attachment issues, or compulsive behaviors can work on clearer communication and steps toward healthier routines. Sara encourages clients to test small changes between sessions and notice what shifts.

Her approach emphasizes a warm therapeutic relationship and attention to each client's history and needs. People who want a direct, compassionate therapist who will listen and offer concrete strategies may find her style a good fit.

How her approaches shape online work

Sara often blends client-centered therapy with cognitive behavioral techniques and mindfulness. Client-centered therapy means she listens closely and follows what matters most to the client, helping people feel heard and understood while they set goals. Cognitive behavioral techniques focus on identifying unhelpful thoughts and testing new behaviors, which can be useful for anger, anxiety, and mood concerns. Mindfulness practices teach simple attention skills to reduce reactivity and improve emotional awareness, helpful for stress and impulse control.

Finding the right approach is a collaborative process. Sara explores goals, preferences, and what has or hasn’t worked before, and then adapts methods to fit each person. She checks in regularly and adjusts strategies as therapy progresses so clients stay involved in planning their care.

If you are considering online therapy, confirm the session formats available before booking. Online work can make it easier to fit therapy into a busy life, reduce commute time, and allow shorter check-ins when needed. It can also let people use mindfulness and cognitive exercises during their day-to-day routines, making practice between sessions more practical.