- Stress and anxiety
- LGBTQ issues
- Practical skill-building
About Sarah
Sarah Mailhot is a licensed independent clinical social worker (LICSW) practicing in Rhode Island with 18 years of experience. Sarah focuses on everyday struggles like stress, anxiety, anger, and depression, and offers calm, respectful support for people navigating LGBTQ issues and related concerns. She meets people where they are and encourages the step of reaching out as a positive first move.
Sarah keeps conversations grounded and practical. She listens first, then helps shape a plan that fits each person’s life and goals. Sessions often involve learning small skills for managing strong feelings, practicing new ways to talk to others, and testing out changes between meetings.
Her work includes attention to attachment patterns and codependency, along with caregiver stress, chronic illness and pain, and the long-reaching effects of family of origin problems. She also supports people dealing with guilt, shame, isolation, and questions about life purpose.
Sarah uses a mix of approaches, including acceptance and commitment methods, cognitive behavioral tools, dialectical skills, client-centered listening, and existential reflection. She aims to combine what works best for each person rather than rely on a single method.
Conversations are shaped by respect, sensitivity, and compassion. Sarah adapts pacing and techniques to match what each person needs, and she encourages small, manageable steps that build confidence over time.
How different approaches guide online therapy
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small, values-based steps even when emotions are difficult. It is useful for stress, anxiety, guilt, and life-purpose questions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions, and offers concrete tools to test and change unhelpful patterns. It helps with anxiety, depression, and anger. Client-Centered Therapy emphasizes respectful listening and collaboration so the person sets the pace and goals for their own work.Finding the right approach is part of the process. The therapist will work together with each person to pick methods that match their needs, goals, and preferences. That collaborative process can include trying different techniques and adjusting the plan as progress and challenges emerge.
Confirm the available session options before booking, as specific formats are not listed here. Online sessions can make it easier to fit therapy into a busy week, avoid travel time, and keep check-ins brief when needed. Some people prefer not being on camera while others like face-to-face video; the therapist will help determine what works best for scheduling, comfort, and the type of work to be done.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
18+ years
Credentials
Rhode Island
Languages
English
Frequently asked questions
What concerns does Sarah commonly address?
She helps people with stress, anxiety, anger, depression, and LGBTQ related issues. Additional focuses include ADHD, codependency, caregiver stress, chronic illness, and family of origin problems.
What is her style or approach in sessions?
She starts by listening and tailors conversations to each person. Sessions mix skill practice, reflective discussion, and goal-setting to fit individual needs.
How long has she been practicing?
Sarah has 18 years of professional experience working with people on emotional and life challenges.
What credential does she hold and where is she located?
She is a licensed independent clinical social worker, RI LICSW, and practices in Rhode Island.
Which languages are offered for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
She does not take international clients at this time.
How are costs and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, fill out a short matching questionnaire, and schedule according to the therapist's availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.