Sarah Middleton

I provide telehealth therapy across Missouri for youth and adults. I’m trained in a wide range of evidence-based modalities with the goal of finding what works for each person. I view therapy as an art and seek interventions that work for those who may have been in "talk therapy" for years without seeing results.

I have specific competency training supporting queer and transgender individuals, neurodivergent clients and the autism spectrum, disability support, trauma, and acute crisis. I also enjoy providing support for caregivers and families in times of stress or transition.

I approach therapy from a collaborative, narrative approach. I am direct and casual in session and use a combination of training and experience to identify areas for support. My goal is that you have a positive overall experience in therapy, but real work is often uncomfortable in the moment! I hope that calling out the discomfort and using humor make the process a little more tolerable.

I like to let you share your idea of what is bringing you to therapy, how you have been managing any struggles, as well as goals you already have. I appreciate hearing about any past experiences with therapy or what has worked and not worked in the past. I have a standardized intake interview for those who prefer it, but I find I get the best information when clients decide what feels important themselves.