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Sarah Mathis

Sarah Mathis, LISW

South Carolina

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Licensed social worker - Guilt and relationship issues

  • Client-centered approach
  • CBT and mindfulness
  • Motivational interviewing

About Sarah

Sarah Mathis is a Licensed Independent Social Worker (LISW) in South Carolina with six years of clinical experience. She works with adults on concerns such as depression, anxiety, addiction, parenting stress, trauma, grief, and relationship struggles. She also lists guilt and shame among the issues she addresses.

Sarah began her practice after training that included work with school-aged children and adolescents, which shaped her understanding of attention and behavior challenges. She notes that online work with young children has not been straightforward, though she is willing to support parents who need guidance. Her background includes supporting people with severe and persistent mental illness and perinatal mood concerns.

Her approach centers on the client’s perspective. She uses client-centered methods that treat the person as the main source of knowledge about their life. In sessions she combines practical tools from cognitive behavioral therapy and mindfulness with conversational work drawn from psychodynamic ideas. Motivational interviewing is part of her toolbox when addressing substance use and change-focused goals.

Sessions tend to focus on developing concrete skills, clarifying values, and practicing small behavior changes. When guilt or shame is present, she helps people name the feeling and consider ways to respond that reduce isolation and reactivity. She aims to help people build routines and communication habits that fit daily life.

People who start with Sarah can expect straightforward, short-term strategies alongside deeper exploration when it’s needed.

How her approaches translate to online sessions

Client-centered therapy focuses on the person’s own experience and priorities. It involves reflective listening and collaborative goal-setting, which helps when someone is trying to sort out guilt, parenting choices, or relationship concerns.

Cognitive behavioral therapy (CBT) offers clear, practical techniques such as tracking thoughts and testing unhelpful beliefs. That approach is useful for anxiety, mood concerns, panic, and patterns that fuel shame. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and ground difficult emotions in the moment.

Choosing the right approach is collaborative. The therapist will discuss goals and preferences, try methods that fit the situation, and adjust based on what helps most. Sessions can mix short skills work with deeper conversation over time.

The original biography does not specify which online session formats are offered, so confirm the current options before booking. Many people find online sessions help fit therapy into daily life - for example shorter check-ins around work breaks, practicing breathing or cognitive tools between errands, or fewer trips to an office. Those practical benefits can make it easier to try strategies consistently without changing other routines.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsParenting issuesBipolar disorderDepression

Also works with

Additional focus areas

Communication problemsDomestic violenceDrug and alcohol addictionFamily problemsGuilt and shameImpulsivityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSexual assault and abuseWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapyTrauma-Focused Therapy

Experience

6+ years

Listed in

South Carolina

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with adults on depression, anxiety, addiction, parenting stress, trauma, grief, relationship issues, and related concerns such as guilt and shame.

How does she approach guilt and shame?

She helps people name the feeling, look at its origins, and practice small, manageable responses that reduce isolation and reactivity.

What is her clinical background?

She has six years of experience and early training that included work with school-aged children and adolescents, informing her understanding of attention and behavior challenges.

What credentials and region are listed?

She is a Licensed Independent Social Worker (LISW) licensed in South Carolina.

Are sessions offered in other languages or internationally?

Sessions are offered in English. She is not accepting international clients at this time.

What session formats are used?

The original biography does not list specific session formats; confirm current session options before booking.

How much do sessions cost?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Sarah MathisLISW

Continue with Sarah