Sarah Spiro, LCSW

Sarah Spiro is a Licensed Clinical Social Worker (LCSW) practicing in Florida who brings 15 years of experience supporting people through relationship, family, and intimacy-related challenges as well as stress, anxiety, career transitions, and depression. She works with clients across a wide range of concerns including codependency, commitment and communication difficulties, infidelity and jealousy, sexual concerns, non-monogamous relationships, and issues related to BDSM, kink, and alternative sex culture. Her approach blends solution-focused work with attentive exploration of emotions so clients can make meaningful, sustainable changes in their lives.

Sarah earned her Bachelor of Social Work from Florida State University and a Master of Social Work from Barry University in Miami. She has volunteered and worked as a social worker for many years and finds great satisfaction in helping people progress through hard work and patience. As a clinician she values getting to know each person as an individual and tailoring sessions to their needs and goals.

Sarah also offers coaching-informed support for clients seeking practical tools alongside therapeutic work. She lives in South Florida with two large dogs and appreciates the region's warm weather. Sarah welcomes international clients and provides care in English, aiming to create a non-judgmental space where clients can move forward with confidence.

Solution-Focused and Coaching Approaches for Online Support

Sarah uses solution-focused therapy to help clients identify practical steps and small changes that lead to progress. This approach emphasizes goals, strengths, and actionable strategies, and is often helpful for relationship challenges, stress, and situational problems. She also integrates coaching-informed techniques to provide structured guidance, skill-building, and accountability for career concerns, life transitions, and personal growth.

Finding the right therapeutic approach is a collaborative process. Sarah works with each person to understand their needs, goals, and preferences, and together they choose methods that fit the client’s situation. Over time the plan can be adjusted based on what is working and what the client wants to achieve.

Online therapy with Sarah is offered through video calls, phone sessions, live chat, or text-based messaging, which makes scheduling more flexible and accessible for people with busy lives or who live far from traditional offices. Working with licensed professionals in these formats allows clients to receive consistent support while balancing work, family, and other commitments.