Sarah Bulwinkle, LMHC

Sarah Bulwinkle is a licensed mental health counselor (LMHC) in Massachusetts with 22 years of clinical experience. She works with adults facing depression, anxiety, anger, parenting stress, bipolar mood concerns, and trauma histories. Sessions are practical and focused on real-life problems.

Her background includes inpatient senior psychiatric hospitals, outpatient work, in-home individual therapy, and crisis assessments in emergency rooms. That range means she has experience with mood disorders, OCD, ADHD, grief, addictions, and relationship stress. She also supports people dealing with caregiving strain, divorce and separation, and financial stress.

Sarah uses Cognitive Behavioral Therapy (CBT) alongside elements of Dialectical Behavior Therapy (DBT) and mindfulness practices. She mixes these approaches to help people notice patterns, test new responses, and develop clearer day-to-day coping skills. Motivational Interviewing and Solution-Focused techniques are part of her toolkit when people want short-term, goal-oriented work.

In sessions she focuses on concrete steps: naming the problem, trying a small change, and tracking what helps. That can look like restructuring a thought that fuels anger, learning a short DBT skill to de-escalate, or setting a manageable plan for sleep and routine. She aims to keep work straightforward and tied to each person’s goals.

People who reach out often want help with stress at work or home, bursts of anger, or problems that recur despite their best efforts. Sessions are offered in English and she accepts international clients. Before booking, clients confirm the current session options and subscription details.

How therapeutic approaches translate to online work