Sarah Mathis, LISW

Sarah Mathis is a licensed independent social worker (LISW) based in South Carolina who focuses on relationships and everyday struggles. She works with adults and teens on stress, anxiety, mood concerns, and challenges related to addiction and parenting. Her manner is warm and respectful, and she approaches sessions by listening first and building practical steps together.

Sarah’s background includes experience with school-aged concerns such as attention and behavior differences, and she is comfortable supporting parents who are managing those issues. She also has experience addressing trauma, grief, intimacy difficulties, and perinatal mood concerns. Over six years in practice, she has supported people facing complex and persistent mental health challenges alongside more common worries.

Her approach centers on the person in front of her. She uses client-centered therapy to follow each person’s priorities, and blends techniques from cognitive behavioral therapy and mindfulness to help with symptoms and coping. Motivational interviewing helps when people are weighing change, and psychodynamic ideas can help uncover recurring patterns that cause pain.

In a typical session she listens, helps set small goals, and practices skills together that can be used between meetings. She encourages honest conversation about what is working and what needs to change. Sessions aim to be practical and grounded in the client’s real life.

To begin, prospective clients complete a short matching questionnaire and schedule based on availability. The site subscription model is used for sessions and can be canceled at any time.

Approaches that guide online work

Client-centered therapy focuses on listening and following the client's priorities. The therapist helps people name what matters, supports their choices, and works beside them to build solutions that fit their life.

Cognitive behavioral therapy (CBT) looks at links between thoughts, feelings, and behavior. It helps people learn specific skills to reduce anxiety, manage mood, and change unhelpful patterns. Mindfulness therapy trains simple attention and acceptance skills that can reduce reactivity and improve focus.

Finding the right approach is part of the process. The therapist will discuss goals and preferences and then try methods that fit a person’s needs. That may mean practicing CBT skills in session, bringing mindfulness exercises into daily routines, or using client-centered conversation to decide next steps. The work is collaborative and adjusted as progress is made.

Confirm the current session options before booking so you know which formats are available. Online therapy can make it easier to fit meetings into busy schedules, shorten check-ins when time is tight, and avoid travel. It can also let people have sessions from a quieter spot or take steps between sessions that support change.