Sarah Mailhot, LICSW
Rhode Island · 18 years in practice
Sarah Mailhot is a Rhode Island licensed clinical social worker with 18 years of practice as a therapist.
License and registration
- LICSW, Rhode Island
- ISW03129 · expires May 2027
- NPI
- 1679028831 · national provider identifier
- Years in practice
- 18
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Sarah
Sarah Mailhot is a Rhode Island licensed clinical social worker with 18 years of practice as a therapist. Sarah brings calm, steady attention to each conversation and aims to make therapy feel manageable from the first session. She focuses on clear, short-term goals and practical skills people can use between sessions.
Sarah works with people facing stress, anxiety, anger, depression, ADHD, and concerns related to LGBT issues. She also addresses chronic illness and pain, caregiver stress, and problems like codependency or communication struggles.
Background and approach
Sessions are shaped to fit what each person needs rather than a one-size approach. Her style is collaborative and straightforward. Sarah listens first, then helps name patterns and priorities.
She combines practical exercises with reflective conversation so clients can try techniques in daily life and report back what helped. Sarah draws on Systemic therapy ideas along with Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered approaches. That mix lets her look at how relationships and life systems affect current struggles while teaching tools for mood, behavior, and stress.
She also uses Dialectical Behavior Therapy skills when emotion regulation or distress tolerance are needed. Many people come for help sorting values, coping with shame or guilt, managing anger, or finding purpose after life changes. Sarah supports parents and caregivers with stress related to care roles and addresses family of origin issues with attention to patterns and communication.
She welcomes conversations about gender dysphoria and HIV/AIDS related concerns as part of broader care.
Focus areas and approaches
Everything Sarah lists on their public professional profile, in their own terms.
- Stress, Anxiety
- LGBT
- Anger management
- Depression
- ADHD
- Attachment issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Family of origin issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Infidelity
- Isolation / loneliness
- Life purpose
- Mood disorders
- Panic disorder and panic attacks
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Approaches Sarah names
- Systemic Therapy
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online care
Systemic therapy looks at relationships and routines that shape how someone feels. Online sessions can map patterns in family, work, or social systems and set small changes to daily interactions.Acceptance and Commitment Therapy, or ACT, focuses on clarifying values and taking action toward them while learning to live with difficult thoughts or feelings. It can help with anxiety, depression, and finding direction after life shifts. Client-Centered Therapy centers the person in the room - listening deeply and following what matters most to them - which supports emotional processing and building self-trust.
Choosing a therapeutic approach is part of the work together. Sarah will discuss goals, try methods, and adapt as needed so the plan fits a client's needs and preferences. That collaborative process helps decide whether to prioritize skills, values-based action, or relational patterns.
Online formats - video calls, phone sessions, live chat, or text messaging - make it easier to fit therapy into a busy life. Video allows face-to-face interaction for skill practice, phone can be lower bandwidth, and text or chat work well for short check-ins or ongoing support between sessions. These options give flexibility for scheduling, follow-up, and using techniques where they matter most.
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Questions people ask
What kinds of problems does Sarah help with?
She works with stress, anxiety, anger, depression, ADHD, and LGBT related concerns, plus issues like caregiver stress, chronic illness, codependency, and family of origin problems.
What is her approach in sessions?
Conversations are collaborative and practical. Sarah listens, helps name patterns, and teaches simple skills to use between sessions.
How much experience does she have?
Sarah has 18 years of professional experience as a therapist working with a range of mental health and life concerns.
What are her credentials and where is she located?
She holds a Rhode Island Licensed Independent Clinical Social Worker credential - RI LICSW - and practices from Rhode Island.
Which languages and client locations are supported?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
Therapy can be conducted by video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How does cost and billing work?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with Sarah?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.
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