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.

Person with tattoos in a gray t-shirt sitting on a couch using a silver laptop.
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?

  • 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
A woman with long brown hair, smiling, sitting on a black stool against a dark background. She is wearing a green blazer, white top, blue jeans, and leopard-print shoes.

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?

  • 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?

Some of my clinical specialties

Sarah Levine-Miles, LCSW-C, PMH-C

Set up a free 15 minute consultation call today