Sarah Scarlett Kickham

• I'm an LCSW, licensed in Oregon and Oklahoma, with a background in medical social work and private practice -- so I'm comfortable with the complicated stuff: difficult medical diagnoses, medical and complex trauma, grief, and life transitions.
• I work especially well with neurodivergent adults, including late-diagnosed AuDHD folks. I deep focus and sensory needs from the inside, and I'm developing a practical framework built around how AuDHD brains actually work, not around masking harder.
• I also work with women navigating perimenopause and midlife, and I'm an LGBTQIA+ affirming practice.
• The thing I most want you to leave with: there's nothing wrong with you, just a brain and a life that deserve to be understood and taken out into the world on your own terms.

My style is warm, collaborative, and down-to-earth, and I care a lot about justice and power dynamics in the therapy room. Together we'll look at at what's actually happening in your life right now, honor where you've been, and build practical changes that feel possible for the real you.

In our first session you can expect a soft landing, not an interrogation. I'll be curious about your world, not rushing to 'fix' you, and we'll figure out together what you're hoping therapy will do for your life. I'm transparent about what I'm doing as we go, and I'll keep checking in to make sure the pace and focus feel okay to you.