Sally Millsap , LCSW

Sally Millsap is a Licensed Clinical Social Worker (LCSW) with 30 years of professional experience, combining formal training and decades of hands-on practice in medical and family-centered settings. She earned a Bachelor of Social Work from Graceland College with a minor in Psychology and completed a Master of Social Work at the University of Iowa. Her credential LCSW indicates advanced clinical training and licensure to provide therapeutic services.

Most of her career has been spent as a medical social worker across four states, supporting patients and families in hospital environments. Her first position after graduate school was at an inpatient rehabilitation center where she counseled people recovering from strokes, spinal cord injuries, and head injuries along with their families. She later worked in high-risk obstetrics units and neonatal intensive care units, assisting high-risk pregnant women, families of drug-exposed newborns, and parents of NICU infants, and she facilitated a support group for NICU parents.

Sally has provided counseling to women considering adoption, those who experienced fetal loss, individuals affected by domestic violence, and people coping with postpartum depression and other pregnancy-related challenges. Thirteen years ago she moved to California and began working at a children’s hospital, where she contributes to the Child Protection Team, co-facilitates a grief support group, and supports parents of children with chronic medical needs and families facing significant life changes. Her areas of specialty include family work, trauma and abuse, grief, parenting, stress and anxiety, addictions, relationship and intimacy issues, eating and anger concerns, career difficulties, and depression, along with focused experience in aging and geriatric issues, caregiver stress, cancer, domestic violence, and traumatic brain injury. She values working with diverse populations and with people of all ages, drawing on deep clinical experience to help families and individuals navigate complex transitions.

Therapeutic Approaches for Online Care

Acceptance and Commitment Therapy, or ACT, helps people clarify their values and learn practical ways to accept difficult thoughts and feelings while taking meaningful action. It is often useful for anxiety, stress, and life transitions where rebuilding focus and purpose matters.

Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship in which the therapist listens deeply and supports the individual's own capacity for growth. This approach can help with grief, relationship concerns, parenting challenges, and coping with change by fostering self-understanding and empowerment.

Trauma-Focused Therapy addresses the impact of traumatic experiences through techniques that reduce distress and support recovery. It is tailored to someone processing abuse, assault, or medically related trauma and aims to restore a sense of safety and functioning.

Finding the right approach is a collaborative process. Sally Millsap works with each person to identify goals, preferences, and what feels most helpful, and she adapts interventions over time so therapy fits the individual’s needs rather than forcing a single method.

Online therapy offers practical flexibility - sessions by video call or phone replicate conversational therapy, while live chat and text-based messaging allow support between appointments or for people who prefer written communication. These options make it easier to connect across schedules, locations, and changing life demands while continuing regular work with licensed professionals and therapists.