Therapy with Sarah
COME HOME TO YOURSELF.
For folks who hold it all together — and are ready to understand themselves more fully.
The Caregiver
You’re the helper, the mother, the steady one for everyone else — and you’re craving a place where you don’t have to be strong.
The Achiever
You’re competent, driven, and deeply capable — but perfectionism and self-pressure quietly run the show.
The Seeker
You’re introspective and self-aware, curious about attachment, identity, and the deeper layers of who you are becoming.
Authentic
Becoming
What to Expect
When we begin working together, we start with a genuine getting-to-know-you phase. I want to understand your story. Your childhood, your family dynamics, your culture, your beliefs, your relationships. What shaped you. What protected you. What hurt you. What helped you survive.
From there, we gently weave the past with the present. We explore what is bringing you into therapy now and how your history lives inside your current patterns, attachment dynamics, perfectionism, or over-functioning. Nothing exists in isolation. Together, we make sense of how your life has led you here.
Over time, our work becomes about integration. Reconnecting with parts of you that were silenced or deemed “too much.” Understanding the protective parts that worked so hard to keep you safe. Softening shame. Building internal trust. Strengthening your relationship with your authentic self.
My foundation is person-centered therapy. I deeply believe that you hold wisdom about your own life. My role is not to fix you, but to help you access what is already there. I trust my clients, and I think that trust matters.
I also frequently use Internal Family Systems (IFS). IFS can be especially powerful when working through trauma, attachment wounds, or parts of you that feel critical, anxious, or hard to love. Many clients find this approach freeing and deeply integrating. Others prefer a different path, and that is welcome too.
Alongside depth work, I incorporate tools that support nervous system regulation and emotional resilience. This might include somatic practices, mindfulness, cognitive reframing, or practical coping strategies. Insight is important, but feeling safer in your body is just as essential.
Most importantly, therapy is not one-size-fits-all. Some clients light up when we explore parts work. Others prefer a more direct or structured approach. I stay flexible and collaborative, tailoring therapy to you rather than asking you to fit into a model.
If you are looking for virtual therapy in California that is relational, depth-oriented, and grounded in both insight and integration, this may be a good fit.
My practice is fully virtual, allowing you to access thoughtful, depth-oriented therapy from wherever you are in California — whether that’s your living room, your office during a quiet break, or a weekend away.
A Thoughtful First Step.
Choosing a therapist is personal. The relationship matters.
I offer a complimentary 30-minute consultation so we can connect, talk about what’s bringing you in, and explore whether working together feels aligned. There’s no pressure and no commitment. Just a thoughtful conversation.
The therapeutic relationship is one of the strongest predictors of meaningful change. During our call, I invite you to notice a few things:
Do you feel at ease?
Do you believe I can help?
Do you experience me as steady and nonjudgmental?
This is a space to trust your internal sense of fit. Therapy works best when it feels grounded and connected from the start.
Nice to meet you
Therapy is deeply personal. To me, it is sacredly relational.
When I invite someone into this work, I’m asking for honesty, vulnerability, and authenticity. I believe that kind of depth requires real presence on both sides. While the focus is always on you, I show up as a grounded and engaged human. When it serves the process, I allow myself to be known in thoughtful ways. Many of the folks I work with appreciate sitting across from someone who feels steady, attuned, and real rather than distant or overly clinical.
In a world that can feel fast, curated, and artificial, therapy remains one of the few spaces that is profoundly human. That matters to me.
I have been practicing therapy for eight years now, with the last 6 years offering virtual therapy to clients across California. It is a strange and wonderful job. Over the years, I have had the privilege of walking alongside so many thoughtful, capable, and courageous people. I am continually humbled by the depth and bravery my clients bring into the room.
In January 2025, I expanded my professional world and founded California Counseling Collective, where I supervise and mentor a team of associate therapists as they grow into their own clinical voices. I care deeply about mentorship, leadership, and building sustainable practices that feel aligned and meaningful.
I am also a co-founder of The Lightwell, a membership community supporting therapists as they build private practices in ways that honor both their humanity and their ambition. Supporting fellow healers and helpers is one of the most fulfilling parts of my career.
On the personal side, I have been married for over a decade, which somehow feels both long and quick at the same time. I am raising two magical, wild little humans who stretch me daily. We also have a deeply lovable and occasionally overstimulating dog who keeps life interesting. I feel most myself near the ocean, in the sunshine, listening to podcasts, eating something delicious. This year, my goal is to learn to surf.
If we work together, I hope you feel deeply supported and genuinely connected. I would be honored to learn about your story, your patterns, and the parts of you that are ready to be understood more fully.
Sarah Iaccarino, LMFT 128686