01 · Who Sara works with

Sara works with stress, Anxiety, relationship issues and eating disorders

Sara lists 17 specialisms and 13 further focus areas. Specialisms are the subjects Sara chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Sara's own words

What Sara says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Combining empathy and intuition to understand every person and each situation, my goal is to support my clients with the compassion and genuine care that they deserve, taking into account their struggles, goals, hopes, desires, and histories. For me, it’s about building quality, unique and profound relationships with my clients, allowing me to give them the confidence to show them that change is, in fact, possible.

I understand that every person is unique. Using a combination of therapy techniques, I am able to really meet my clients on a personal level, helping them clarify goals, find their self-confidence and become effective and intentional with their relationships.

With a Masters in Marriage and Family Therapy and licensed in the state of California (44317), I have worked as a Marriage Counselor and Therapist for over 15 years, guiding individuals toward their goals, and watching as they achieve amazing strides in their relationships, in their workplace, and in their lives. We aim to work on communication skills, opening doors and creating effective ways to voice needs so you can be truly understood in all aspects of your life.

Because of the approach I use, my experience, knowledge and passion for every client, I am able to empathize and understand each on a deeper level, allowing every client to feel change, even after the very first psychotherapy session. That is because I believe it’s not just about you and me, you and your spouse, or you and others, it’s about building a quality relationship with yourself, allowing for more clarity, understanding and appreciation. In this way, you can truly make the changes you wish to see, and see the improvements you never thought you could reach. This research is valuable for working with the clients I work with to foster new insight into their concerns and find solutions. The quality of the therapeutic relationship and empathic attunement lead those with relationship issues to think about their issues and how they need to change their interactions. Clients with eating disorders are supported in their search for understanding the function of their eating disorder and are guided through their recovery. As they recover, they will be able to think more clearly as their brains are getting the nourishment they need to stay healthy. Teens are unique in the kind of attunement they need and what they respond to. Through years of working with teens, I have been able to find a way of building rapport with them to influence change. When they feel understood and heard, they can make positive steps.

I have been utilizing principles of research on the brain and the power of the mind in changing the structure and function of the brain. Through focusing attention on our internal world we are able to gain empathy and understanding for others allowing them to feel empathic attunement. Feeling attuned to can help one gain insight and understanding into their own internal processes which can cause one to change stuck and dysfunctional ways of relating. This process called Mindsight can actually change the course of your relationships and integrate areas of your history, beliefs, or trauma that weren’t integrated before. When we are able to modify our internal world we can change our patterns of relating to a more harmonious way of interacting. The therapeutic relationship is the conduit for increasing Mindsight and being able to look at the areas that are in need of the most attunement. Therapy with empathic attunement gives clients what they need in order to create change which is empowering for clients. This research is valuable for working with the clients I work with to foster new insight into their concerns and find solutions. The quality of the therapeutic relationship and empathic attunement lead those with relationship issues to think about their issues and how they need to change their interactions.

Sara Markham, on the BetterHelp listing · read 9 Oct 2026

03 · How Sara works

The 5 approaches Sara lists, in plain English

These are the clinical methods Sara lists. The descriptions are Maker Therapy's, not Sara's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Sara runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Sara practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Sara's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Sara at this point.

2. Naming Sara specifically

   BetterHelp matches algorithmically by default, so asking for Sara is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Sara.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Sara

Built from what Sara actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Sara's - Sara has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMFT

Licensed in

California

Licence

CA LMFT 44713

Licence number

44713

Licence expires

30 Nov 2026

NPI

1881839272

Years in practice

3

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Sara's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Sara. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.