Sarah Mathis , LISW

Sarah Mathis is a licensed social worker based in South Carolina with six years of clinical experience supporting teens and adults through a wide range of life challenges. She holds an LISW, which stands for Licensed Independent Social Worker, a credential that reflects advanced training and independent clinical practice.

Her work includes treatment for depression, anxiety, addictions, bipolar disorder, stress, parenting and antenatal/postpartum concerns, trauma and abuse, grief, relationship and family issues, intimacy-related difficulties, self-esteem challenges, and ADHD. She also addresses related areas such as communication problems, domestic violence, drug and alcohol addiction, family problems, guilt and shame, impulsivity, isolation and loneliness, questions of life purpose, veteran and armed forces issues, financial worries, mood and panic disorders, personality disorders, non-monogamous relationship dynamics, and postpartum depression.

Early in her career she gained experience working with school-aged children on conditions such as ADHD, ODD, and ASD. She finds direct online therapy with very young children challenging, but she is open to working with parents to help them navigate concerns and develop strategies for their families.

Her therapeutic stance is characterized by warmth and positive regard. Using a patient-centered approach, she treats each person as the expert on their own life and acts as a facilitator to help uncover skills, strengths, and practical strategies for change. She believes in the capacity of individuals to grow and adapt and supports clients in building insight and coping tools. She looks forward to working with clients.

Therapeutic approaches Sarah Mathis uses in online care

Client-Centered Therapy focuses on empathetic listening and building a trusting therapeutic relationship. It centers the client's experience and strengths, making it useful for relationship concerns, self-esteem work, and life transitions where personal insight and validation are key.

Cognitive Behavioral Therapy (CBT) is a practical, skills-based approach that helps identify and reframe unhelpful thoughts and behaviors. It is commonly used for anxiety, depression, panic, and many mood-related challenges where changing patterns of thinking and coping can reduce symptoms.

Mindfulness Therapy teaches present-moment awareness and simple exercises to reduce reactivity and increase emotional regulation. It can support stress management, impulsivity, and ongoing anxiety by helping clients observe thoughts and feelings without immediate reaction.

Finding the right therapeutic approach is part of the work itself. Sarah collaborates with clients to assess needs, goals, and preferences, and she tailors techniques from these approaches to fit each person’s situation in a flexible, client-focused way.

Online therapy options such as video calls, phone sessions, live chat, and text-based messaging offer practical flexibility for scheduling and continuity of care. These formats allow licensed professionals to deliver consistent therapeutic methods across different settings, making it easier for clients to engage in therapy around work, family, and other commitments.