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Sara Sanford

Online & In-Person
Psychotherapist
San Francisco, California
License CA92601
www.SaraSanfordTherapy.com

About Sara

I specialize in trauma, including childhood abuse, complex and traumatic relationships, and the ways our minds and bodies sometimes disconnect to help us survive. If you’ve felt numb, isolated, or like you're just going through the motions, you’re not alone—and I promise there’s nothing wrong with you. My approach is warm, collaborative, and grounded in both neuroscience and deep compassion. I offer a space where you don’t have to explain everything in perfect words—where your emotions, your body, and your survival strategies are all welcome. As someone who’s walked this path myself, I know how heavy it can feel to carry pain that was never yours to begin with. Healing is possible, even if it hasn’t worked before. We’ll work gently and intentionally to untangle what’s been holding you back, so you can start to feel safe, connected, and fully yourself. You will never be judged for your choices or your experiences, but rather valued for every aspect of your individual journey. You just need to show up—I’ll meet you there, and we’ll move forward together. You can learn more about me on my website at www.SaraSanfordTherapy.com or call/text 415-870-6494.
Office Location
4200 18th St
Suite 204
San Francisco, California 94114
Get Directions
Costs and Insurance
$205 - 225 per session
Sliding Scale
Out of Pocket

How does child or adolescent therapy work and how can it help?

Helping teens navigate identity, emotions, relationships, and the pressures of growing up in today’s world: Being a teenager is tough. It’s a time of change, exploration, and sometimes, deep confusion. For teens today, the pressure can feel overwhelming—social media, school demands, identity questions, and family dynamics all pile on. Therapy offers a space where they don’t have to carry it alone. I work with teens from a trauma-informed, affirming, and non-judgmental lens. Whether they’re dealing with anxiety, depression, bullying, or identity exploration, they deserve a space where they can feel safe, understood, and empowered. What We Work On: Every teen is different, and so are the challenges they face. Some of the areas we may explore include: Anxiety, stress, and school performance pressure Depression, low self-esteem, or self-harm Gender, sexuality, and identity exploration Social issues, bullying, and peer conflict Trauma or family dynamics Whether your teen is struggling or just needs someone to talk to outside the family, therapy can offer relief, clarity, and connection. Collaborative Family Support: While teen therapy centers the teen’s experience, I also work with parents and caregivers to support the family system. We can collaborate on: Building healthier communication within the family Navigating conflict or power struggles Supporting your teen through mental health challenges You don’t need to have all the answers. Supporting your teen starts with listening and showing up. My Approach with Teens: I bring warmth, authenticity, and respect into every session. Teens can tell when someone’s not being real with them, and I don’t believe in putting on a therapist “mask.” I meet them where they are, offering practical tools, emotional validation, and space to process without pressure. Sessions may include: Creative approaches like art or movement Mindfulness and nervous system regulation tools Guided reflection and values exploration Above all, the goal is to help teens build resilience, self-trust, and emotional awareness that they can carry with them. You can connect with me at www.SaraSanfordTherapy.com anytime.

Why did you become a therapist, and what motivates you to continue?

Before I was a therapist, I was a seeker—someone moving through my own questions about pain, resilience, connection, and what it truly means to feel whole. I didn’t wake up one day with all the answers. I lived through the questions. I’ve known what it feels like to carry stories that haven’t been witnessed, to long for spaces where I could show up fully, and to crave a life where healing felt possible—not just for others, but for myself, too. These experiences didn’t break me—they shaped me. They deepened my empathy, sharpened my intuition, and gave me the fierce belief that no one is beyond healing. It’s this lived perspective that brought me to the field of clinical social work, and it’s what continues to fuel my passion for this work every single day. After earning my Master’s in Social Work and becoming a Licensed Clinical Social Worker, I dedicated my practice to working with individuals and couples navigating trauma, life transitions, identity exploration, and relationship dynamics. But I don’t see therapy as “fixing” people. That word doesn’t sit right with me—because you’re not broken. You’re surviving, adapting, coping, and often doing the very best you can with what you’ve been given. To me, therapy is a collaborative space where we explore not just what happened to you, but how it lives in your body, your relationships, your thoughts, and your sense of self. It’s not about pushing you into a mold or telling you who you should be. It’s about helping you reconnect with your truth, at your own pace, in a space where you feel safe, affirmed, and seen. Healing is never linear. It’s not quick. It’s not clean. But it is sacred. And I’m here to walk beside you—not as an expert who has it all figured out, but as a grounded, compassionate guide who will meet you exactly where you are. You deserve a space where you can bring your whole self—your pain, your joy, your questions, your contradictions—and be met with curiosity, care, and respect. That’s the space I strive to hold. You can connect with me at www.SaraSanfordTherapy.com anytime.

For people that are hesitant to try therapy, what do you wish you could tell them?

Therapy doesn't mean that you are broken, and you don't need to be at your worst to seek support. The clients that see the most change in their lives are the clients that often feel that they are not "ready" or "deserving" of support. Therapy is a space for healing, of course, but you don't have to be broken to have the emotional space to process your daily challenges. As a therapist myself, I go to therapy every single week. This is MY space to talk about the darkest moments of my life, and so often to talk about my successes. I don't feel broken after therapy, but instead I feel rejuvenated. Therapy is no different than going to the gym, taking a walk, or going on a date night. We all need to process our emotions in a sacred space to live to our fullest potential. I work with clients who are in the worst moments of their lives, but I truly stay in this field because of the moments I share with my clients that are the best in their lives. I am the therapist that WANTS to see the texts you had with your boyfriend. I want to see the newborn photos when you have a child or when your child graduates from college. Going to therapy is adding a person to your support system, it is not about being broken and needing to be "cured" or "fixed." If you are uncertain about starting therapy know this: Therapy is for you. If you hate it, then stop. You are in control of your life, your choices, and your emotions. I respect you. If you would like to give therapy a try, I am open to seeing you for a two or three sessions and see if it helps. If not, that's OK! You are the expert in your own life. You can connect with me at www.SaraSanfordTherapy.com anytime.

How do you work with clients with trauma and PTSD?

Trauma changes how we see the world—and how we see ourselves. It can make the body feel unsafe, relationships feel overwhelming, and the future feel uncertain. Trauma-focused therapy provides a safe, compassionate space to gently process what you’ve been through and reconnect with your inner strength. This isn’t about retelling your story over and over. It’s about reclaiming your relationship with your body, your emotions, and your sense of self. Why Trauma-Focused Therapy? Whether your trauma stems from a single event or chronic experiences, its impact can linger in the nervous system long after the danger has passed. You might feel stuck in cycles of hypervigilance, shutdown, shame, or emotional overwhelm. Trauma-focused therapy supports you to: Develop internal and external safety Understand how trauma shows up in your thoughts, behaviors, and relationships Reconnect with parts of yourself that were shut down or fragmented Build resilience and emotional regulation tools Healing isn’t linear, but it is possible. And you don’t have to navigate it alone. What is Trauma-Focused Therapy? This therapy approach integrates mind-body techniques and trauma-informed practices to meet you where you are. It often blends talk therapy with somatic awareness, mindfulness, and nervous system regulation work. In our sessions, trauma therapy might include: Learning how to ground and soothe your body Processing traumatic memories at a safe pace Identifying triggers and creating coping strategies Working through self-blame, fear, or disconnection We go slow. We stay present. We honor your pace and boundaries. Who is This For? Trauma-focused therapy can be especially helpful for: Survivors of childhood trauma, abuse, or neglect Individuals with PTSD or Complex PTSD People experiencing dissociation, flashbacks, or emotional numbness Those impacted by systemic, relational, or intergenerational trauma Anyone ready to feel more safe, whole, and grounded Even if it feels hard to trust or open up, therapy can offer a space where healing becomes possible. How We’ll Work Together You are the expert on your story. My role is to help you access your inner resources while creating a space that feels safe and supportive. In our work together, you’ll: Learn to track and regulate your nervous system Build tools for self-compassion and resilience Process trauma in ways that don’t retraumatize Reconnect with your body, boundaries, and inner wisdom We won’t rush. We’ll focus on creating the safety and trust needed to support true healing. So, if you have experienced a traumatic event of any kind, there is no better time to start improving your quality of life than today. You can connect with me at www.SaraSanfordTherapy.com anytime.

How do you work with clients with women's issues?

I am so proud to tell the story of how I chose to begin my education as a Women's Studies major in college. I entered school and had zero direction in my life. I had no idea where to go and I was in a truly unhealthy relationship. I signed up for a Women's Studies course in college at the suggestion of my advisor, and after the first class I felt that I had found my path and my future. I gobbled up books about women's experiences from Greek Mythology to the Feminist Movement. I began to understand that women see the world and have unique experiences that define us, but that we are able to write our own story. I felt so incredibly empowered the first time I referred to myself as a Feminist, and I have worn that as a badge of honor since that time. I was among the first graduating class at Vanderbilt University who were able to obtain a degree in Women's Studies. This was after years of "proving" to the administration that it was a true degree. A true education could consist of studying women's history, women's triumphs, and preparing for a career as an advocate for underrepresented women in need of support. This decision to venture into the field of Women's issues was not met with much support or understanding at the time, but now that I have been in this field for 20 years, I am increasingly proud to focus my work on women's needs, women's mental health, and to devote my work to supporting women through trauma. My understanding and belief system is that being a woman is a badge of honor, and I respect women who identify as female regardless of any other factors. I am fully inclusive and proud to share my practice with the LGBTIQ+ community, trans-women, cis-gendered women, and anyone who may feel that they hold a female spirit. I also support clients going through a transition or working to understand their gender identity. We are all human beings, and I respect everyone based on their living presence, rather than the gender or sexuality that they may identify with in their personal life. If you are looking for a a truly inclusive therapist, who also is affirming, and will offer a truly non-judgmental space for healing, you have found her! You can connect with me at www.SaraSanfordTherapy.com anytime.
Interested in talking?
(415) 870-6494
Office Location
4200 18th St
Suite 204
San Francisco, California 94114
Get Directions
Costs and Insurance
$205 - 225 per session
Sliding Scale
Out of Pocket
Specialties
Trauma and PTSD
Anxiety
Child or Adolescent Therapy
Depression
Domestic Abuse
Individual Therapy
Client Focuses
White
Straight / Heterosexual
Jewish
Age Groups
Adult
Elders (65+)
Teen
Approaches
Acceptance and Commitment (ACT)
Mindfulness-Based (MBCT)
Somatic
Trauma Focused