About Sarah
Sarah Mikael is a counsellor with PACFA accreditation and ten years of hands-on experience. She works from Australia and offers practical help for people feeling overwhelmed by stress, anxiety, low mood or relationship strain. Sarah meets people with care and directness and aims to make first steps feel manageable.
Sarah tailors conversations and plans to each person. She listens for what matters most and helps set small, achievable goals. Sessions often focus on clearer thinking, coping strategies and building confidence over time.
Background and approach
Many people consult her for trauma and abuse recovery, and for ongoing anxiety or depression support. She also helps with self-esteem, motivation and communication problems that get in the way of daily life. Sarah draws on evidence-based therapeutic techniques to guide the work.
She can also support people navigating issues such as attachment concerns, abandonment, adoption and foster care histories, and caregiver stress. Sarah has experience with chronic health challenges and neurodiversity including autism and Asperger syndrome. Sarah speaks English, Arabic, Pushto and Urdu.
She encourages anyone who is ready to take a step forward to begin with a short matching questionnaire and a brief first session to agree on goals and a plan.
Evidence-based approaches and online care
Sarah draws on evidence-based therapeutic techniques that focus on practical change. One common approach helps people identify and change unhelpful thought patterns, teaching skills to reduce anxiety and lift mood. This approach is useful for stress, worry and low mood because it breaks problems into manageable steps.Another approach emphasises processing difficult experiences at a steady pace to reduce their ongoing emotional impact. This method supports people working through trauma or abuse by helping them understand reactions and build safer ways of coping.
Finding the right approach is part of the work. Sarah will talk with each person about their goals, preferences and what feels most helpful. Together they decide which techniques to start with and adjust the plan as progress is made.
Online sessions are offered by video call, phone, live chat or text-based messaging to fit different lives. Video suits deeper conversational work, phone can be easier when bandwidth is limited, and messaging or chat can be useful for brief check-ins or when not wanting to be on camera. These options make it simpler to fit therapy around work, caregiving or travel and support ongoing contact between sessions.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 10 years
- Licensed
- Languages
- English, Arabic, Pushto, Urdu
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