Supporting deeper connection—with yourself and the people who matter most.

My practice specializes in attachment-based therapy, emotionally focused work with couples and individuals. My approach integrates relational neuroscience, trauma-informed care, and experiential models that help people understand the deeper patterns shaping their relationships and emotional lives.
Client Portal
Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

Thoughtful therapy for meaningful relational change.

Welcome! My name is Sarah and I've been working in the Mental Health field for over a decade in many different settings including schools, community mental health clinics, and private practice. As an Attachment-Focused Therapist, I work best with people who want to address relational issues. I have an inclusive practice where I work with all types of people navigating relationships at any age and any stage. I utilize Emotionally Focused Therapy (EFT) in my work with couples, relationships and families. I am honored to walk alongside my clients, supporting them in strengthening their relationships, understand themselves better, and make choices that are in alignment with who they are. ​I have additional training in working with racial identity and parents in the perinatal phase of life as well as in providing inclusive and affirming therapy to folx who identify as LGBTQ+. Read more about me at www.therapywithsarah.org
Sarah Lesko, Relationship Specialist
Licensed Marriage and Family Therapist

Services

  • Relationship Issues
  • Attachment Issues
  • Couples Counseling
  • Family Conflict
  • LGBTQIA+
  • Racial Identity
  • Gender Identity
  • Parenting
  • Anxiety
  • Depression
  • Trauma
  • Communication Issues
  • Cultural Adjustment
  • Life Transitions
  • Marital and Premarital
  • Peer Relationships
  • PTSD
  • Cultural and Systemic Oppression

Approaches

  • Psychotherapy
  • Emotion Focused Therapy (EFT-Couples)
  • Attachment-Based
  • Trauma Focused
  • Family/Marital Therapy
  • Family Systems
  • Culturally Sensitive
  • Emotionally Focused
  • Person-Centered
  • Strength-Based
  • Cognitive Behavioral Therapy (CBT)
  • Clinical Supervision and Licensed Supervisors

Fees

  • Psychotherapy, 50 minutes: $195
  • Couples Therapy, 50 minutes: $230
  • Family Therapy, 50 minutes: $230
  • Couples or Family Therapy, 75 minutes: $300
  • Initial Consultation (15 min): $0

Locations

Suncast Lane

1190 Suncast Ln Suite 7
El Dorado Hills, CA 95762-9330

Get Directions
A street map for office location at EL DORADO HILLS, CA 95762-7525

Phone

EL DORADO HILLS, CA 95762-7525

A street map for office location at EL DORADO HILLS, CA 95762-7525

Telehealth Zoom

EL DORADO HILLS, CA 95762-7525

Client Portal