Sarah Elfstrom

I am a Licensed Clinical Social Worker in New York with 19 years of experience helping clients navigate difficult situations and challenging mood, including depression and anxiety. My approach is direct and collaborative, incorporating appropriate humor when it supports the therapeutic relationship. My goal is to help clients build practical skills and lasting resilience so they can manage life’s challenges with greater confidence and independence. I view therapy as a partnership, and I’m invested in seeing my clients thrive, both in our work together and beyond it.

I use an integrative approach, drawing on evidence-based modalities including CBT, trauma-focused CBT, behavioral activation, mindfulness-based techniques, and strength-based approaches, tailored to each client’s specific needs. If a particular intervention isn’t producing results, we adjust course together. Homework between sessions is optional and collaborative, I check in on progress when it’s been assigned. My practice emphasizes open, honest communication and a strong therapeutic relationship, ensuring that our work stays focused on the goals that matter most to you.

Early sessions focus on establishing a strong therapeutic relationship. We’ll discuss confidentiality, your treatment goals, and how I can best support you. I’ll ask questions to understand your history and what you’re hoping to achieve. The first session carries no pressure, it’s an opportunity to determine whether we’re a good fit and to establish a direction for our work together. You can expect a warm, direct, and collaborative approach from the outset. By the end of our initial meeting, you’ll have a clearer sense of the path forward. If you’re ready to begin, I welcome you to schedule a session.