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Sarah Bulwinkle, LMHC

Compassionate LMHC specializing in trauma and family care
  • CBT and narrative therapy
  • Family and trauma focus
  • Accepts international clients

About Sarah Bulwinkle

Sarah Bulwinkle is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 22 years of professional experience. She has provided care across a range of settings, including inpatient senior psychiatric hospitals, outpatient in-home individual and family therapy, and crisis assessments in hospital emergency rooms.

Her clinical work covers a broad spectrum of concerns, such as depression, anxiety, bipolar disorder, ADHD, obsessive-compulsive symptoms, parenting difficulties, trauma and abuse, relationship and family problems, grief, addiction, sleep and eating issues, anger, and self-esteem. She also addresses aging and geriatric issues, caregiver stress, attachment concerns, and mood disorders among other areas of focus.

Therapeutically she integrates Cognitive Behavioral Therapy (CBT) with narrative therapy, shaping treatment around each person’s story and practical skill-building. She emphasizes individual strengths and approaches each case with compassion, tailoring interventions to the client’s goals and life context.

Sarah views therapy as a collaborative process and believes people are capable of making meaningful changes to reach their objectives. She aims to support clients through life transitions, coping challenges, and recovery from trauma, working alongside them to develop strategies that fit their needs and preferences.

Areas of Expertise

Primary Focus

Family conflictsTrauma and abuseParenting issuesBipolar disorderDepression

Also Specializes In

Stress, AnxietyAddictionsLGBTRelationship issuesGriefEating disordersSleeping disordersAnger managementSelf esteemCareer difficultiesCoping with life changesCoachingADHD

Additional Focus Areas

Aging and geriatric issuesAttachment issuesCaregiver issues and stressDivorce and separationDomestic violenceFamily of origin issuesFamily problemsGuilt and shameImpulsivityMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobia

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy

Frequently Asked Questions

How much experience does Sarah Bulwinkle have?

Sarah Bulwinkle has 22 years of experience in clinical mental health work across inpatient, outpatient, and crisis settings.

Is Sarah Bulwinkle a licensed therapist?

Yes. She holds the LMHC credential, which stands for Licensed Mental Health Counselor. License details are MA LMHC LMHC8785.

In which languages does Sarah Bulwinkle provide therapy?

She provides therapy in English.

Where is Sarah Bulwinkle located?

She is located in Massachusetts.

How can I work with Sarah Bulwinkle as my therapist?

You can work with Sarah Bulwinkle through video calls, phone sessions, live chat, or text-based messaging.

Does Sarah Bulwinkle work with international clients?

Yes, Sarah Bulwinkle works with international clients.

How much does therapy with Sarah Bulwinkle cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Evidence-Informed Approaches and Flexible Online Care

Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thinking and behavior patterns and replace them with more adaptive skills; it is often used for anxiety, depression, mood disorders, and many everyday life challenges. Dialectical Behavior Therapy (DBT) combines skill-building in emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness to support people managing intense emotions, impulsivity, or relationship difficulties. Mindfulness Therapy encourages present-focused awareness and nonjudgmental observation of thoughts and feelings, which can complement other treatments and help with stress, anxiety, and trauma-related symptoms.



Finding the right approach is part of the therapeutic process. Sarah collaborates with each person to assess needs, goals, and preferences, then adjusts methods over time to create a plan that feels practical and meaningful.



Online therapy offers practical flexibility - sessions can take place by video call, phone, live chat, or text-based messaging - allowing continuity of care across schedules and locations. These options make it easier to fit therapy into daily life and to maintain consistent progress with a licensed professional regardless of geography.

Ready to start therapy with Sarah Bulwinkle?

Take the first step toward a better you.