- Guilt and shame
- CBT and narrative
- 16 years experience
About Sarah
Sarah Thomas is a California licensed Marriage and Family Therapist (LMFT) with 16 years of professional experience. She works with adults carrying stress, anxiety, relationship concerns, trauma and abuse, low self-esteem, and depression. Sarah also supports people dealing with abandonment, guilt and shame, isolation, panic, and social anxiety.
Sarah treats clients as the experts on their own lives. She listens for strengths and patterns, then helps people notice what gets in the way. Sessions focus on clear, practical steps as well as understanding how past events still affect present feelings.
Her work draws on several therapy methods. Cognitive Behavioral Therapy looks at thoughts and behaviors that keep problems going. Narrative Therapy helps people rewrite how they tell their story. Client-centered approaches prioritize the person's experience and goals.
In a typical meeting she checks in about what matters most that week. Conversations often include identifying small, doable changes and testing them between sessions. She pays attention to how relationships and old hurts shape current reactions.
Sarah aims to keep things direct and readable. She wants people to feel understood and to leave sessions with one or two next steps. If someone is carrying guilt or shame, she helps name it and consider how it affects daily life and choices.
How her approaches translate to online sessions
She commonly blends Client-Centered Therapy with Cognitive Behavioral Therapy and Narrative Therapy. Client-Centered Therapy focuses on listening and making the person's goals central, which helps people prioritize what to work on. CBT identifies unhelpful thoughts and behaviors and tries small experiments to change them, useful for anxiety and panic. Narrative Therapy looks at the stories people tell about themselves and helps reframe those narratives to reduce shame and hopelessness.Choosing the right mix of methods is a collaborative process. The therapist will review needs, goals, and preferences with the client and suggest approaches to try. They adjust methods over time based on what helps the person feel clearer and able to act differently.
Confirm current session options before booking to know the exact formats she offers. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. These practical benefits help people maintain consistency and try therapeutic techniques between meetings without changing daily routines.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
16+ years
Listed in
California
Languages
English
Frequently asked questions
Which concerns does she work with?
She works with stress, anxiety, relationship issues, trauma and abuse, self-esteem concerns, and depression. Additional focuses include guilt and shame, abandonment, panic, and social anxiety.
What is her therapy style like?
She uses a straightforward, people-centered approach that looks at strengths and patterns. Methods include client-centered listening alongside practical techniques from CBT and narrative work.
How much clinical experience does she have?
She has 16 years of professional experience working with adults on mood, anxiety, relationship, and trauma-related concerns.
What credential does she hold and where is she based?
She is a California LMFT, which stands for Licensed Marriage and Family Therapist, and practices in California.
Does she offer sessions in other languages?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions scheduled and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time. Specific pricing is provided during the sign-up process.
What are the first steps to start therapy?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to begin.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.