In person sessions in Rockville, MD and virtual in MD, DC, IL, CO, & MI
individual therapy
Tired of keeping it together on your own?
Individual therapy for people who look fine on the outside, but feel overwhelmed underneath.
sarah levine-miles, lcsw-c, pmh-c
Feeling like you can’t take a deep breath? You’re Not Alone.
If the weight of making it appear that you have everything together while feeling constantly anxious underneath has been holding you down, know that it’s not just you.
These patterns can make navigating daily life and relationships feel exhausting.
That’s exactly why I offer therapy grounded in Acceptance and Commitment Therapy (ACT), somatic awareness, and mindfulness- designed to help you loosen anxiety’s grip, build genuine calm and connection, and trust yourself again.
Any of this hit too close to home?
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Carrying everything alone is wearing on you.
You’ve been the one who holds things together- for yourself, for others, for a long time.
And even though you can carry it, it’s starting to take a toll. -
It feels risky to need support.
There’s a part of you that worries that if you ask for what you need, it will be “too much.”
So you keep the harder feelings inside, even when you’re struggling. -
Everything starts coming out sideways.
Irritability. Shutdown. Tension. Everyday things feeling heavier than they used to.
Not personal failings- just signs you’ve been holding too much on your own.
Sarah Levine-Miles, lcsw-c, PmH-C
Hey! I’m Sarah.
I believe in the power of authenticity, curiosity, compassion, and playfulness to create real change. Through personalized sessions grounded in Acceptance and Commitment Therapy (ACT), somatic awareness, and mindfulness, I aim to help you build calm, connection, and trust in yourself.
Let me show you how this integrative and human approach, rooted in warmth, humor, and gentle challenge, can support you in moving toward a life that feels rich and meaningful.
How About we Move Towards These Instead?
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Feeling Understood Instead of Alone
A place where you don’t have to translate your experience, minimize it, or make it sound neat.
We’ll make space for the full story — without rushing, pulling, or pushing. -
Being able to ask for support without bracing.
Less apologizing, shrinking, or worrying you’re “too much.”
We’ll practice showing up as you are and letting that be enough. -
Finding steadiness in your everyday life.
Not just insight, but ways to handle the moments when everything starts to tighten or overflow.
Tools that actually work in real time.
Looking for support for something specific?
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Item description
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Support for the parts of you that are changing — seen, held, and understood.
Pregnancy and the postpartum period can open up profound shifts — in identity, nervous system, relationships, and the way you understand yourself. This time can bring joy, fear, grief, rage, anxiety, numbness, and meaning all at once. You don’t have to make any of it make sense alone.
I am certified in Perinatal Mental Health (PMH-C) through Postpartum Support International — the only internationally recognized certification for perinatal mental health. My background also includes training in a Level III NICU and supporting families navigating complicated pregnancies, high-risk medical situations, premature birth, and postpartum hospitalizations.
This means I understand not just the emotional shifts, but the medical, hormonal, attachment, and trauma layers that often go unseen.
We’ll work gently and steadily, helping you:
Understand and regulate your nervous system during a major identity transition
Make sense of intense emotions without shame or self-blame
Repair places where support fell short or trauma occurred
Stay connected to your needs even when others need things from you
This is a space where you get to be held, not just the one who holds everything together.
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Steadying your emotional rhythms without shutting down what makes you, you.
I work with people who experience shifts in energy, emotion, and intensity — times of feeling deeply inspired and connected, followed by periods that feel heavy, slowed down, or numb.
Bipolar is not just about managing symptoms; it’s about the relationship you have with your own internal rhythms.
Our work focuses on learning your early cues, repairing the shame that often collects around these patterns, and developing structure that supports you without feeling restrictive or flattening.
We move at a nervous system pace, not a checklist.
We learn your early signals, so you don’t feel ambushed by your own mind.
We build routines that feel supportive, not controlling.
And throughout, we protect your sense of identity, vitality, and agency — so you don’t have to choose between being stable and being yourself. -
Support for stepping out of the mental exhaustion of looping thoughts, checking, and constant doubt.
OCD can feel like living inside a loop: intrusive thoughts, mental replaying, reassurance seeking, checking, avoiding, or analyzing just to feel temporarily safe.
Even when you know your thoughts don’t make sense, the discomfort can be so strong it feels impossible not to respond. The more you try to get certainty, the tighter the cycle becomes.
I’m trained in Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT) through Massachusetts General Hospital / Harvard Medical School, two of the most effective and research-backed treatments for OCD.
Our work focuses on learning how to relate to your thoughts differently — so your life becomes bigger than the fear, the what-ifs, and the rituals.
This isn’t about forcing yourself to “face your fears” alone.
It’s about creating space, reducing compulsions gradually, and rebuilding trust in your internal signals — at a pace your nervous system can actually tolerate. -
There’s a lot of pressure to have things figured out — your direction, your identity, your relationships, your purpose. On the outside, you may look like you’re managing: you’re doing the work, showing up, handling things. But inside, it might feel confusing, overwhelming, or like you’re falling behind some invisible timeline everyone else seems to know about.
Some of my clinical specialties
Sarah Levine-Miles, LCSW-C, PMH-C