About Sarah
Sarah Mailhot is a Rhode Island licensed clinical social worker with 18 years of experience. Sarah uses a respectful, direct style to help people who feel overwhelmed by stress, anxiety, anger, depression, or challenges related to LGBT identity. Conversations are practical and straightforward to make beginning therapy feel less heavy.
Sarah starts by listening to what matters most to the person in front of her. She tailors sessions to individual needs instead of applying one fixed method.
Background and approach
That means therapy can include skills practice, values work, or talk that helps a person make sense of difficult feelings. Her approach combines hands-on tools and open conversation. Cognitive Behavioral Therapy offers clear steps to spot and change unhelpful thinking.
Acceptance and Commitment Therapy focuses on what matters most and taking small actions toward those goals. For people dealing with intense emotions, elements of Dialectical Behavior Therapy are available to build emotion regulation and distress tolerance skills. Sarah also draws on client-centered and existential ideas to keep the work grounded in each person’s values and life story.
Sessions aim to be useful and readable between meetings. Sarah helps people practice skills, reframe stressful thoughts, and identify manageable next steps. The overall goal is clearer thinking and steadier action in everyday life.
Many clients appreciate a straightforward, compassionate clinician who adapts methods to fit real-life demands. Sarah encourages anyone feeling stuck to take a small first step toward change.
How different approaches translate to online therapy
Acceptance and Commitment Therapy helps people notice what matters to them and take small actions toward those values. Online sessions can include exercises to clarify values, short home assignments, and steps to build consistent habits that reduce stress and increase meaning.Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing them in daily life. In video or phone sessions this can look like reviewing thought records, practicing new responses, and checking progress between meetings to shape better routines.
Dialectical Behavior Therapy offers concrete skills for managing strong emotions and reducing impulsive reactions. Online work can include short skills coaching via text or live chat, practice of grounding techniques during calls, and planning for high-stress moments with clear steps to follow.
Finding the right mix of methods is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn't worked in the past. Together they decide which approaches to use and adjust them as needed over time.
Online formats provide flexibility to fit therapy into busy lives. Video allows face-to-face interaction for skill demonstrations. Phone sessions require less bandwidth and can fit a work break. Live chat and text messaging are useful for quick check-ins, short coaching, or ongoing practice between sessions.
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Anger management
Also listed
- ADHD
- Attachment issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Depression
- Family of origin issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Infidelity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Rhode Island
- Languages
- English
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