Cara Sarelli

Are You Ready to Anchor Yourself? When life delivers a major medical diagnosis, a devastating loss, or the relentless buzz of trauma and anxiety, it is easy to feel entirely unmoored. I provide specialized online psychotherapy to adults across California, Massachusetts, Maryland, South Carolina, Texas, and Washington who are ready to stop just surviving and start reclaiming their lives.My approach centers on controlling what is controllable. Together, we identify practical, clear steps you can take right now to find clarity, process deep-seated emotional pain, and restore your confidence.

I bridge compassionate holding spaces with evidence-backed clinical skill-building.

Neuroscience & Skill Building: Using practical CBT and DBT tools, we focus on nervous system regulation, impulse control, and sustainable coping strategies.

Reframing Your Narrative: We address painful chapters through Narrative and Reality Therapy, focusing on your inherent resilience and what is possible in the present.

Faith & Spirituality: When desired, we can seamlessly integrate your Christian faith and personal spiritual values into your therapeutic process.

Primary Areas of Practice

Trauma & PTSD Care: Moving through traumatic memory and physical overwhelm with grounded, trauma-informed care.

Grief, Bereavement & Loss: Safe, structured space to carry and integrate heavy life transitions.

Depression & Anxiety Management: Quieting mental static and rebuilding daily momentum.

Chronic Illness Adaptation: Managing the grief, stress, and lifestyle shifts that come with medical changes.

Caregiver & First Responder Support: Essential boundary-setting and emotional recovery for frontline workers, clinicians, and those caring for family members facing illness or addiction.

A Safe, Non-Judgmental Introduction

Whether this is your very first time in therapy or you have years of experience, taking that first step requires vulnerability. My primary goal for our initial meeting is to establish a warm, calm, and gentle environment where you can speak freely without fear of judgment. We will work entirely at a pace that feels emotionally safe and comfortable for you.

What We Will Cover

Our first session is an opportunity to build trust and map out your path forward. Together, we will complete a collaborative assessment that looks at the whole picture of your life.

• Your Current Situation: Exploring the primary stressors or goals that brought you to therapy today.
• Your Strengths & Support: Identifying the internal resilience, values, and external resources you already possess.
• Barriers & Navigation: Highlighting the current obstacles, symptoms, or patterns that feel like they are holding you back.

The Power of Fit (My Two-Session Rule) Therapy is a true partnership. I always advise clients—whether they choose to work with me or another professional—to try at least two sessions before deciding if a therapist is the right fit. If you ever feel that we aren't a perfect match, I will never take it personally and will gladly help you find the right direction. Your healing is what matters most, and I am here to help you identify your goals and find your footing.