About Sarah
Sarah Mathis is a licensed social worker (LISW) based in South Carolina. She offers calm, practical help for people facing anxiety, depression, addiction, parenting strain, and ADHD. Her style is warm and straightforward, with an emphasis on listening and building on each person's strengths.
She has six years of experience working with teens and adults across a range of concerns. Early work in schools introduced her to attention differences and behavior challenges, and she later supported people with trauma, mood disorders, postpartum concerns, and relationship stress.
Background and approach
That variety informs how she adapts sessions to each person's needs. Sessions focus on what matters day to day. Sarah uses client-centered conversations to understand what a person already knows about their life.
She pairs that with cognitive behavioral strategies to notice unhelpful thinking and try clearer, more useful actions. Mindfulness and motivational interviewing are part of her toolkit when people need help with motivation, cravings, or staying present. She also draws on psychodynamic ideas to notice patterns from relationships and past experiences that affect current choices.
Sarah aims to help parents talk through worries about child behavior and to support individuals managing impulsivity, grief, or role strain. She explains options in plain language and works together with people to set small, doable goals.
Practical approaches for online care
Sarah uses client-centered therapy to put the person's goals first, giving space to tell their story while the therapist reflects and helps clarify priorities. Cognitive behavioral therapy (CBT) is used to identify unhelpful thoughts and test new behaviors, which can help with anxiety, mood concerns, and ADHD-related challenges. Mindfulness techniques are introduced to build focus and reduce reactivity, which can be useful for stress, impulsivity, and cravings.Finding the right approach is a team effort. The therapist will talk with the client about their goals and preferences, try methods that fit, and adjust over time if something isn’t helping. That collaborative process helps land on what works best for each person.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are good for in-depth conversations and visual cues. Phone sessions work well when bandwidth is limited or for a quick check-in. Live chat and text help with brief check-ins, daily support, or when writing out thoughts feels easier. These options make it simpler to fit therapy into a busy schedule and to keep consistent momentum between sessions.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Parenting issues
Also listed
- ADHD
- Bipolar disorder
- Communication problems
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Trauma and abuse
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 6 years
- Licensed
- South Carolina
- Languages
- English
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