Sara Sanford, Licensed Clinical Social Worker, Certified Clinical Trauma Professional-II

Sara Sanford, Licensed Clinical Social Worker, Certified Clinical Trauma Professional-II

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Telehealth Available
Professions: Clinical Social Worker, Counselor, Mental Health Counselor
License Status: I'm a licensed professional.
Primary Credential: Licensed Clinical Social Worker - 92601
Telephone: 628-288-7457
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Free Initial Consultation
Weekend Availability
Evening Availability

Therapy in:

4200 18th St
Suite 204
San Francisco, California 94114

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What's My Approach to Therapy?

You might be here because something isn’t working — even if you can’t fully name what it is. Maybe you feel anxious, disconnected, or stuck in patterns that are painful but familiar. You’ve probably been holding it together for a long time — doing what’s expected, showing up for others, managing the day-to-day. But inside, it’s exhausting. You might feel like you’re unraveling, like something is missing, or like no one really sees what you’re carrying. If any of this resonates, I want you to know: you're not alone, and you don't have to keep holding it all by yourself.

I work with adults, teens, and couples who are ready to explore what’s underneath the surface. Many of the people I work with have lived through trauma, emotional neglect, or chronic stress — and while they’ve learned how to function, they don’t always feel connected, safe, or whole. You might be navigating anxiety, relationship difficulties, burnout, self-doubt, or patterns that feel impossible to break. I’m here to help you slow down, listen to yourself more deeply, and begin the process of healing from the inside out.

My approach to therapy is relational, trauma-informed, and grounded in compassion. I’m not a therapist who sits back in silence. I show up as a real person — present, engaged, and attuned to you. I bring warmth, curiosity, and deep respect for your story. We move at your pace. I don’t believe in pushing or pathologizing. I believe in creating a space where all parts of you are welcome — even the ones you’ve learned to hide, dismiss, or silence.

With adults, our work often focuses on healing attachment wounds, reducing anxiety, softening self-criticism, and building more authentic, connected relationships. I help you notice and shift patterns that were once protective but are no longer serving you. We look at how your past might be living in your present — not to stay stuck there, but to understand how it shaped you and how you can move forward with more freedom and self-trust.

With teens, I create a calm, grounded space where they can begin to make sense of what they’re feeling and who they’re becoming. Many of the teens I work with feel deeply but don’t always have the words. They might be navigating anxiety, identity questions, family dynamics, or emotional overwhelm. Therapy can be a place where they feel safe to be themselves, ask hard questions, and develop the tools to manage life’s complexities with more resilience.

For couples, I support both partners in slowing down reactive patterns, improving communication, and rebuilding emotional safety. Many of the couples I work with are dealing with the impact of past trauma, ruptures in trust, or a sense of emotional disconnection. Together, we create space for honest conversations, deeper understanding, and more meaningful connection — even when it’s hard.

At the core of my philosophy is the belief that healing happens in safe, attuned relationship. I don’t see you as a problem to be fixed — I see you as a person worthy of care, curiosity, and compassion. Therapy is not about changing who you are — it’s about reconnecting with yourself in a way that feels empowering and true.

I also understand that beginning therapy can feel vulnerable. You don’t have to know exactly what you need or how to say it. You just have to be willing to show up — and I’ll meet you there.

Therapy with me is a space where you can breathe. Where you don’t have to minimize your experience or pretend to have it all together. Where you can explore your past without getting stuck in it, and imagine a future that feels more aligned, grounded, and real.

If you're ready for therapy that goes beyond coping — therapy that helps you feel more like yourself — I invite you to reach out. Let’s talk about what you’re hoping for and see if working together feels like the right fit. You deserve support that honors your story and helps you move forward. I’d be honored to walk with you.

My Practice & Services

My practice is rooted in creating a safe, supportive, and inclusive space where healing can happen at your own pace. I believe therapy is a deeply personal journey, and I’m committed to meeting you where you are — whether you’re just beginning to explore therapy or have been on this path for some time.

I offer both in-person sessions at my office in San Francisco’s Castro District and virtual sessions for clients across California, making it easier to access care no matter where you are.

Beyond individual, teen, and couples therapy, I occasionally offer group therapy sessions and workshops focused on topics such as anxiety management, building self-compassion, and healing from trauma. These groups provide a unique opportunity to connect with others who share similar experiences in a supportive, structured setting. If you’re interested in learning more about upcoming groups or workshops, feel free to ask.

I also believe in collaboration and often work alongside other holistic practitioners, such as yoga therapists and bodyworkers, to support healing on multiple levels.

My practice is LGBTQIA+ affirming, trauma-informed, and respectful of neurodiversity. Creating a space where all clients feel valued and understood is a priority.

If you have questions about how therapy works, session structure, fees, or scheduling, I’m happy to provide clear information so you can feel confident about taking the next step.

I look forward to supporting you on your healing journey.

How My Own Struggles Made Me a Better Therapist

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.

Video Message


Please note: The video above was submitted by Sara Sanford, Licensed Clinical Social Worker, Certified Clinical Trauma Professional-II, and any views or opinions expressed are not necessarily shared by GoodTherapy.org. We do our best to ensure videos align with our vision; however, if you find there is inappropriate content, please email us or call 888-563-2112 ext. 2.

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Client Age Groups I Work With

  • Teens
  • Adults
  • Elders

Languages

  • English

Groups I Work With

    You may be someone who looks like they’re doing fine from the outside — high-functioning, responsible, insightful — but inside, you feel anxious, overwhelmed, or stuck in painful emotional loops. You may carry wounds from the past that still shape your present. I work with adults, teens, and couples who are ready to understand themselves more deeply, heal old patterns, and move toward more ease, clarity, and connection in their lives.

    Adults: Unpacking What’s Underneath

    I specialize in supporting adults who have a history of trauma, attachment wounds, or childhood emotional neglect. These experiences often leave behind invisible weight — a constant sense of vigilance, self-doubt, or disconnection that can be hard to name but deeply felt. You might find yourself stuck in perfectionism, people-pleasing, or difficulty trusting others (or yourself). Therapy can help you gently unwind these patterns and reconnect with the parts of yourself that are wise, grounded, and capable of healing.

    Teens: Support Through a Time of Transition

    I work with teens (14 and up) who are navigating anxiety, identity struggles, family tension, or emotional pain that feels too big to handle alone. Adolescence is full of change — internal and external — and having a nonjudgmental, trustworthy adult outside of the family system can make a huge difference. My approach with teens is warm, relational, and attuned. I create a space where they can show up as they are, explore what they're feeling, and begin to make sense of their experiences.

    Couples: Healing Together

    I also work with couples who feel stuck, disconnected, or caught in recurring cycles of conflict. Many of the couples I work with are dealing with the impact of unresolved trauma, communication breakdowns, or a loss of emotional safety in the relationship. Whether you’re struggling with trust, intimacy, or just feel like you’re missing each other, therapy offers a space to slow down, tune in, and begin to repair. We work together to build more understanding, emotional safety, and connection.

    A Trauma-Informed, Relational Approach

    What all my clients have in common — whether individual or relational — is a desire to feel more like themselves. To move through life with more confidence, calm, and connection. My approach to therapy is not prescriptive or surface-level. I offer depth, warmth, and real collaboration. I believe healing happens in relationship — and therapy can be a place where new, more empowering ways of relating take root.

    Where I Practice

    I offer in-person therapy in San Francisco’s Castro District and online therapy to clients across California. My practice is inclusive, LGBTQIA+ affirming, and grounded in values of safety, curiosity, and respect. If you’re ready to do meaningful, emotionally honest work — I’d be honored to walk with you.

Industries & Communities Served

  • BIPOC
  • Education
  • Entertainment Industry
  • First Responder/Medical Professionals
  • LGBTQ+
  • Military/Law Enforcement
  • Professional Sports
  • Self-Employed and Freelance Professionals
  • Union First

Client Challenges & Concerns I Address

  • Academic Concerns
  • Anxiety
  • Attachment Issues
  • Blended Family Issues
  • Body Image
  • Breakup
  • Bullying
  • Child and/or Adolescent Issues
  • Communication Problems
  • Depression
  • Divorce / Divorce Adjustment
  • Family Problems
  • Gender Dysphoria
  • Learning Difficulties
  • LGBT (Lesbian, Gay, Bisexual, and Transgender) Issues
  • Mood Swings / Mood Disturbance
  • Panic
  • Parenting
  • Posttraumatic Stress / Trauma
  • Relationships and Marriage
  • School issues
  • Self-Esteem
  • Sexuality / Sex Therapy
  • Teen violence/dating violence
  • Young Adult Issues
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Therapeutic Approaches & Evidence-Based Methods

  • Mindfulness-Based Interventions
  • Motivational Interviewing
  • Parent Work
  • Parent-Child Interaction Therapy (PCIT)
  • Positive Psychology
  • Self-Acceptance Training
  • Solution-Focused Brief Therapy (SFBT)
  • Strength-Based Therapy
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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