Elizabeth Sarinana

Elizabeth Sarinana is a licensed clinical social worker with 16 years of experience helping people manage stress, anxiety, depression, and grief. She also supports work on relationship concerns, self-esteem, motivation, and feelings of isolation and loneliness. Her approach is practical and down-to-earth, with clear steps people can use between sessions.

She treats each person as the expert on their own life and looks for strengths to build on. Conversations focus on what feels most urgent and on small changes that make day-to-day life easier. Elizabeth listens for patterns around attachment, abandonment, communication, and forgiveness so those issues can be addressed without overwhelming the process.

Sessions move at the client’s pace and prioritize workable skills. This may include strategies for mood regulation, clearer communication, and rebuilding confidence after loss or separation. She also talks through practical concerns such as money stress and life purpose when those issues come up.

Elizabeth works in both English and Spanish and sees people in California as well as international clients. She uses her clinical background to guide collaborative goal-setting and to help people try different ways of coping until something fits.

To begin, clients complete a short matching questionnaire and then schedule sessions according to the therapist’s availability. The subscription used for sessions can be canceled at any time, and costs vary with location and therapist availability.

How evidence-based approaches translate to online therapy

Elizabeth works from evidence-based therapeutic techniques that focus on skills people can use right away. One common approach emphasizes identifying unhelpful thinking and trying new, more balanced thoughts to reduce anxiety and low mood; this helps with worry, sadness, and motivation problems. Another approach concentrates on attachment and relationship patterns, helping people notice how past losses or abandonment shape current reactions and rebuild more effective communication and connection.

Deciding which approach to use is part of the work together. Elizabeth will help clients choose methods that fit their goals and preferences and will adjust the plan as progress is made. The process is collaborative and paced to what feels manageable.

Confirm current session formats before booking so you know what options are offered. Online therapy can make attending sessions easier by eliminating travel time, allowing appointments during a lunch break, or supporting check-ins from different locations. It also makes it possible to work with a licensed professional across state or country lines when that is offered, which can expand access to care and continuity over time.