geometry-shapes iconSelf-Harming, Suicidal Ideation, Stress / Mental Stress / Work Stress, Depression, Anxiety, Trauma / PTSD
Online in Tennessee
16 years in practice
Ages served: 18-65+
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Accepted insurance & self-pay

Sarah accepts 30 insurers
Aetna
Anthem
Blue Cross Blue Shield
Cigna Metro National Public Schools (MNPS)
Cigna | Evernorth
Adventist Health Associates | Employee Health Plan
Adventist Health Associates | Non-Employee Health Plan
AnMed Employee Program
Blue Cross Blue Shield | Anthem (Blue Card)
BlueCross BlueShield of Tennessee Medicare Advantage
BlueCross BlueShield of Tennessee | BCBS
Cigna | Evernorth - Employee Assistance Program (EAP)
Compsych
Devoted Health | Medicare Advantage
Firefly Health Plan | Cigna PPO Network
First Farmers
First Health Network
HealthSpring | Medicare Advantage
JP Farley Corporation
Medicare TN
Multi Plan PHCS
Municipal Health Benefit Program
Optum Serve
Oscar Health
Poppins Health
Quest Behavioral Health
Tricare East | Out of Network Provider
UMR
United Healthcare | Optum
United Healthcare | Optum - Employee Assistance Program (EAP)
United Healthcare | Optum Medicare Advantage
Uprise EAP
SELF-PAY COSTS
Out-of-pocket session costs for clients who don’t have insurance or aren’t covered by their insurance for mental health services.
$200
first session
$170
subsequent sessions
About Provider

About Sarah

I'm a licensed clinical social worker (LCSW) with 16 years of experience providing trauma-informed psychotherapy. I specialize in supporting individuals navigating anxiety, emotional overwhelm, trauma-related stress, identity concerns, and major life transitions. I often work with clients who feel stuck in patterns shaped by past experiences, chronic stress, or relational challenges and are seeking greater clarity, stability, and confidence.

I earned my master's degree in social work from Southern Adventist University. I use cognitive behavioral therapy, dialectical behavior therapy, cognitive processing therapy, motivational interviewing, and mindfulness-based interventions, integrating culturally responsive and nervous system-informed strategies tailored to each client's needs.

Clients often come to therapy wanting to feel calmer, more grounded, and better able to cope without becoming overwhelmed. I provide a collaborative and supportive space to build insight, strengthen emotional regulation, develop practical coping skills, and improve boundaries so you can move forward with balance, clarity, and confidence.

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"My approach is warm, honest, and grounding—like having a steady, attuned guide who helps you understand what your mind and body have been carrying, and heal at a pace that honors both your strength and your exhaustion."

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Get to know Sarah

Why did you decide to become a counselor or psychiatric provider?

My work as a therapist is shaped by both professional training and lived experience. Growing up as the oldest child in my family required early attunement to others’ needs and navigating complex family dynamics. Over time, my own experiences with trauma and emotional distress deepened my understanding of how chronic stress and unmet needs impact emotional regulation and relationships. I approach therapy from a trauma-informed, collaborative lens, grounded in the belief that all behavior is functional and best understood in context. I aim to help clients feel seen, supported, and empowered to engage in meaningful change.

What types of clients do you work best with?

I work best with individuals who are engaged in the therapeutic process and have a desire for change, even if they feel unsure, afraid, or conflicted about how to begin. Many of my clients are curious about themselves, open to feedback, and willing to practice skills or reflect between sessions. Consistency, effort, and communication matter more to me than having everything figured out.


I’m especially well-suited to working with adolescents and adults who are insight-oriented, highly self-critical, or who grew up in parentified, overwhelming, or traumatic environments. Many of the people I support identify as caregivers or helpers and are used to prioritizing others while struggling to care for themselves.


Clients who benefit most from working with me are open to balancing emotional processing with practical skill-building. I value accountability, curiosity, and a willingness to sit with discomfort, and I aim to create a space where clients can explore their experiences honestly while working toward meaningful, sustainable change.

What's one thing you wish all clients knew about therapy, mental health, or the healing process?

I wish clients knew that therapy is a process, not a quick fix. Feeling unsure, afraid, or conflicted is normal, especially when change feels risky. Healing happens when clients stay engaged, remain curious about themselves, and are willing to practice new ways of thinking, feeling, and responding—even when it’s uncomfortable.

What can clients expect in their first session with you and in the early stages of therapy?

The first session is focused on getting to know you, understanding your concerns, and creating a sense of safety and structure. In early therapy, we work collaboratively to build insight, develop coping skills, and identify patterns contributing to distress, while moving at a pace that feels manageable and purposeful

What personal experiences or values inform your practice as a therapist/provider?

My practice is informed by both lived experience and professional training. Growing up as the oldest of ten children required early responsibility, adaptability, and awareness of others’ needs, which shaped my understanding of family systems, stress, and emotional survival. My own experiences with trauma and emotional distress deepened my commitment to trauma-informed care and reinforced the importance of safety, attunement, and context in the healing process.

I value curiosity, accountability, and compassion, and I believe people are doing the best they can with the tools and information available to them at the time. These values guide my work and allow me to approach therapy without judgment, while still supporting clients in taking ownership of their growth. I aim to help clients feel seen, supported, and empowered to engage in meaningful and sustainable change.

How do you tailor therapy to meet each client’s unique needs?

I tailor therapy by combining evidence-based approaches with flexibility, adapting interventions and pacing to meet each client’s unique strengths, challenges, and treatment goals.

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Other areas of focus

SpecialitiesSelf-Harming, Suicidal Ideation, Stress / Mental Stress / Work Stress, Depression, Anxiety, Trauma / PTSD, Thinking Disorders, Relationships, Sleep / Insomnia, Social Anxiety, Mood Disorders, LGBTQIA+, Performance Anxiety, Life Transition, Personality Disorders, Grief, Emotional Disturbance, Career Counseling, Caregivers, Coping Skills, Anger Management, Behavioral Issues, Bipolar Disorder, Borderline Personality Disorder (BPD), Women’s Issues, Panic Attack
ApproachesTrauma-Focused Cognitive Behavior Therapy (TF-CBT), Psychotherapy, Solution Focused Brief Therapy (SFBT), Somatic, Trauma-Focused, Narrative, Integrative, Internal Family Systems (IFS), Interpersonal, Motivational Interviewing, Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), Compassion Focused Therapy (CFT), Culturally Sensitive, Dialectical Behavior Therapy (DBT), Attachment-Based, Any / Eclectic
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Education and training

Years in practice
16 years
Graduating institute
Southern Adventist University in Collegedale, TN
Graduating degree
Master of Social Work
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Additional details

Languages spoken by this provider
English
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NPI number1366784076
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State of practiceTN
Practice location

Practice information

Book your first session

Individual Counseling
Sarah is available for Video visits.
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Sarah Thomas

Licensed Clinical Social Worker (LCSW)she/her