Sarah Refvem

There are moments when a life that looks capable from the outside no longer feels sustainable within.

I work with adults who are ready to gently explore these patterns and create new possibilities for themselves. Together, we’ll look at how your experiences live in your thoughts, emotions, body, and relationships, and we’ll move at a pace that feels safe and respectful to you. My style is warm, collaborative, and grounded. I’ll offer practical tools and thoughtful questions, while also honoring your strengths, your history, and what matters most to you. My hope is that therapy becomes a place where you feel more connected to yourself, more choiceful in how you respond to life, and more able to experience ease, meaning, and aliveness in your day-to-day life.

My practice integrates narrative therapy, somatic psychotherapy, mindfulness, and evidence-based care. I hold master’s degrees in public health and counseling, and my work is informed by advanced training in trauma, nervous system regulation, meditation, Yoga Nidra and iRest. I have a particular interest in supporting veterans, caregivers, and trauma survivors.

*If you don't see a time that works for you in my booking schedule please reach out ([email protected]), I often have times available that may not be reflected on the booking schedule.*

I believe therapy should be a place where real, lasting change can happen—not just a space to “get by.” In our work, I’ll listen closely to your stories and your body’s signals, helping you notice patterns that may be hard to see from the inside. Using narrative therapy, somatic psychotherapy, mindfulness, and other evidence-based approaches, we’ll explore both your challenges and your resilience. I often support people who have spent years taking care of others, adapting to difficult circumstances, or carrying trauma quietly on their own.

In our first session, you can expect a calm, welcoming space to share what brings you to therapy and what you hope might be different. I’ll invite you to talk about your current concerns, your history, and what has or hasn’t been helpful in the past. You’ll be able to ask questions about my style and we’ll decide together what feels like a good starting point. As we continue, I may offer gentle prompts to help you notice what’s happening in your body, reflect on your stories from new angles, and practice skills for grounding and self-compassion. Many clients find that, over time, they feel more understood, more attuned to their needs and limits, and more confident in responding to stress and relationships. Therapy can be brief or longer-term depending on your goals; we’ll check in regularly to make sure our work is aligned with what you need right now. My aim is for you to leave sessions feeling supported, respected, and a little more resourced for the week ahead.

Additionally, I believe therapy should be as accessible as possible. I accept several insurance plans, offer self-pay appointments, and maintain a limited number of reduced-fee options. For some clients, these reduced-fee appointments are available through my partnership with Open Path Collective.