Sara Cole LMFT, Marriage & Family Therapy in San Diego, California, 92103

Sara Cole


Sara Cole


Professions: Marriage & Family Therapist
License Status: I'm a licensed professional.
Primary Credential: MFT - 47276
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Fees: $175 per 50-minute session. Some sliding scale appointments available.

Also available: in-depth 90-minute sessions, online therapy, phone therapy, and intensive couples sessions.

Free initial 20 minute phone consultation.
Free Initial Consultation
Evening Availability


3365 2nd Avenue, Suite A-1
San Diego, California 92103
9666 Businesspark Ave
Suite 201
San Diego, California 92131

My Approach to Helping

You have come to a point in life where you no longer want to settle with just surviving. You want to really LIVE life.
Sometimes this happens if you are experiencing a big change, you have experienced a traumatic event, or you have come to a point where you know something needs to change.
You feel like you are being stretched too thin
Maybe you feel guilty for complaining or asking for help because "it could be so much worse".
I want you to know that if you are feeling held back, weighed down, depressed, anxious or overwhelmed, asking for help is the best thing you can do. It is the best thing for you and for those you care about.
Are you at the point where you don't know how much longer you can go on doing all that you do.
You may feel like you don't even want to keep going if this is the best it gets.
This is not the best it gets.

You can keep being the giving and caring person you are. You can keep your commitments and continue to provide care for those who need it. You can do these things with joy. You can feel peace and feel energized. As we work together you will begin to see that there is hope and that will turn to excitement about what life holds for you.

My approach to helping people is based on the idea that no two people are exactly alike. This means that each person I work with may require a slightly different approach in order to maximize the work we do. There is more than one way to get to a destination and this is the same in therapy. Whether you are trying to get past a traumatic event or events, make big changes or adjust to a new situation, I have the tools to help you get your happy self back.

I tailor my approach to best fit your needs, strengths, interests, situation, and goals. In doing this I pull from my experience, training, and understanding of you as a person to find the "path" that works best for you. We will pinpoint your strengths and interests and use those in reaching your goals.
I know you just want to feel better and I feel so fortunate to have a job where I can help people feel better.

Please feel free to contact me with any questions you may have or to schedule an appointment. I look forward to meeting and working with you.

More Info About My Practice

The most important thing for therapy to be successful is for you to trust and feel comfortable with your therapist. This is why I offer a free 20 minute consultation. You can use this to ask me questions, tell me more about what you are looking for and just get a feel for how we would work together. This will help us in deciding if we are a good fit to work together toward your goals.

As people get busier and more stretched for time, I have found that it is important to offer therapy in ways that go beyond the traditional 1 hour per week arrangement. This traditional style works great for some people, but others find that they can gain more from therapy if they utilize one or more of the alternative arrangements I offer. This is another way in which I work to best meet your needs in our work together. Alternatives that I offer include phone appointments, online appointments, extended sessions and intensive weekend sessions as needed.

Important Factors for Choosing a Therapist

Here are some questions to consider asking a potential therapist. Asking questions like the ones I have listed will help you to get a feel for a potential therapist. No therapist is the right person for everyone, so finding a therapist that feels like a good fit for you is important. A good relationship with your therapist will help ensure that you are able to get the most out of therapy.

1. What type of license do you have to provide therapy?

It is important that a therapist has a valid license to practice in the state where you are. It is also a good idea to know the difference between some of the most common types of licenses. Most importantly, keep in mind that a life coach is NOT a therapist and does not have the training or license that an MFT, LCSW, PSy.D or Ph.D has.

2. Do you have any specializations? Do you specialize in the issues I am having?

It is important that a therapist has experience working with the problem you are looking for help with. For some issues there is extra training therapists can do to become expert.

3. How would you work with the type of issue I am having?

Asking this question will allow you to see if the therapist?s approach feels like something you would be comfortable with. The answer to this question will also give you a feel for the therapist?s understanding of the issue you are having.

4. How long have you been practicing? How long have you been licensed?

While time alone is not an indicator of quality, it will give you an idea if this therapist has at least some experience. Also, therapists with less experience should be less expensive which may also be a factor for you to keep in mind. In the end, the most important thing is the connection you feel to a therapist and your comfort level in working with them.

5. Have you had any complaints filed against you?

This could be a red flag. If yes, what was the complaint and what was the outcome? A complaint itself may be just that or it may have resulted in the therapist being found guilty of a wrongdoing.

6. Do you have a specific approach you use in therapy?

Some therapists have chosen to specialize in working with one approach such as Cognitive Behavioral Therapy, Narrative Therapy or EMDR are examples of some of the many theories or approaches. Other therapists work from a range of theories and perspectives based on what you are looking for and what you need. It?s good to know this about your therapists as it will greatly influence how they work with you and how they understand the issues you are working on.

7. What is your fee?

This is important to ask so that there are no surprises during your first session and the fee may also be a factor in your deciding on a therapist.

8. How long are your sessions? How often would you want to see me?

Typically, a therapy session lasts from 45-50 minutes and is referred to as a therapeutic hour. However, there are therapists who offer longer sessions so that you have the opportunity to get more done in a single session. This is something worth asking about.

9. Do you offer online or phone sessions if I am unable to come to the office?

Not all therapists do this. It?s a great alternative to missing a session if you are ill or out of town.

10. What is not private and confidential about what we do?

All therapists are required to keep your information and what you talk about in session, confidential. There are a couple of legal exceptions to these laws and those are that a therapist is mandated to report if they suspect child abuse or elder abuse or that you intend to hurt yourself or someone else. These very specific exceptions are in place to ensure safety.

If you are doing couples or family therapy, it may be important for you to talk with your therapist about how confidentiality works in terms of family members or partners.

11. I?ve never been in therapy before. What will it be like?

Asking this question gives you another opportunity to see how this therapist works and to get a feel for what a session might be like.

12. Do you think you can help me?

Your faith in the therapist?s belief is important. Working with a therapist that has confidence in your ability to be successful is so so important.

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Services I Provide

  • Art Therapy
  • Consultation
  • Family Therapy
  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Online Counseling / Phone Therapy
  • Other

Ages I Work With

  • Teens
  • Adults


  • English

Groups I Work With

    I specialize in working with women and teen girls who are having a hard time with big changes or events in their lives. This includes people who have experienced trauma, women experiencing postpartum depression and anxiety, the death of a loved one, people who are experiencing anxiety and depression. I provide couples counseling. I also find it rewarding to work with family and friends of addicts.

Client Concerns I Treat

  • Abandonment
  • Abortion / Post Abortion Issues
  • Abuse / Abuse Survivor Issues
  • Adjusting to Change / Life Transitions
  • Anxiety
  • Attachment Issues
  • Breakup
  • Cancer
  • Career Choice
  • Codependency / Dependency
  • Depression
  • Divorce / Divorce Adjustment
  • Emotional Abuse
  • Emotional Overwhelm
  • Family of Origin Issues
  • Family Problems
  • Grief, Loss, and Bereavement
  • Infidelity / Affair Recovery
  • Mood Swings / Mood Disturbance
  • Panic
  • Post Partum Depression
  • Posttraumatic Stress / Trauma
  • Pregnancy and Birthing
  • Relationships and Marriage
  • Self-Care
  • Women's Issues

Types of Therapy

  • Art Therapy
  • Attachment-Based Family Therapy (ABFT)
  • Breathwork
  • Cognitive Behavioral Therapy (CBT)
  • Developmental Psychology
  • Eye Movement Desensitization and Reprocessing Therapy (EMDR)
  • Family Systems Therapy
  • Gottman Method
  • Guided Therapeutic Imagery
  • Integration of different therapy models
  • Mindfulness-Based Cognitive Therapy (MBCT)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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