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Sara Tinker, LCSW

Warm, trauma-informed therapy grounded in relationship
  • Trauma and anxiety support
  • Relationships and communication
  • Mind body perspective

About Sara Tinker

Sara Tinker is a Tennessee-based Licensed Clinical Social Worker (LCSW) with 26 years of experience supporting people through trauma, stress, anxiety, depression, relationship challenges, and major life transitions. Her work is grounded in research-supported interventions and shaped by a broad background in both clinical training and lived experience, with an emphasis on building a steady, trusting therapeutic relationship as the foundation for meaningful change.

Her clinical lens draws from psychodynamic traditions, including Self-Psychology, Object Relations, and systems and family therapy, while also integrating attachment-based work, client-centered therapy, DBT skills, and trauma-focused methods. She has pursued additional training in EMDR through the Personal Transformation Institute and is enrolled in an EMDRIA-approved, two-year Advanced EMDR Certification program. She is also enrolled in Dr. Peter Levine’s Somatic Experiencing training for gentle, body-based trauma resolution, and is a member of the Southern Sandtray Institute Group, incorporating sandtray therapy with clients of different ages as well as family and couples work.

Earlier in her career, Sara completed graduate studies in Exercise Physiology and Wellness, with a thesis focused on aerobic fitness and stress perception. Her interest in mind-body-spirit connections also led her to study yoga and meditation at the Pennsylvania Himalayan Institute and travel for further study in India and Nepal. Her training at the University of Tennessee, Knoxville included work with survivors of sexual abuse and in community mental health. After roles in acute adolescent psychiatric and addiction-related treatment, as well as in-home child and adolescent services, she opened a private practice in 1992.

Over the years, Sara has also trained with Rev. Becca Stevens, Founder of Magdalene (now Thistle Farms), and worked with Mending Hearts, supporting women impacted by addiction, co-occurring mental health concerns, and homelessness. In therapy, she brings a warm, interactive style and approaches each person with respect, sensitivity, and compassion, focusing on strengths and possibilities rather than reducing anyone to a diagnosis or past experiences. She commonly works with concerns such as mood swings, bipolar disorders, communication problems, premarital counseling, spiritual or church trauma, gender identity issues, family and parenting stress, and chronic pain, including pain related to autoimmune conditions such as fibromyalgia, lupus, arthritis, Crohn’s, and sarcoidosis.

Sara’s approach is informed by the reality that life can include loss, complicated relationships, blended families, divorce, caregiving stress, chronic pain, and the impact of a loved one’s addiction and recovery. She aims to help clients move toward healthier boundaries, clearer decisions, deeper connection, and a more authentic life while staying grounded in the practical steps of the healing process.

Areas of Expertise

Primary Focus

Also Specializes In

AddictionsLGBTFamily conflictsGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementBipolar disorderCoping with life changesCompassion fatigue

Additional Focus Areas

AbandonmentAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic Approach

Attachment-Based Therapy Client-Centered Therapy Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Existential Therapy Eye Movement Desensitization and Reprocessing (EMDR) Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Sara Tinker have?

Sara Tinker has 26 years of experience providing therapy.

Is Sara Tinker a licensed therapist?

Yes. Sara Tinker is a Licensed Clinical Social Worker (LCSW) in Tennessee (TN LCSW 1046).

In which languages does Sara Tinker provide therapy?

Sara Tinker provides therapy in English.

Where is Sara Tinker located?

Sara Tinker is located in Tennessee.

How can I work with Sara Tinker as my therapist?

You can work with Sara Tinker through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and what is available.

Does Sara Tinker work with international clients?

No. Sara Tinker does not currently work with international clients.

How much does therapy with Sara Tinker cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches, Made Accessible Online

Sara Tinker draws from approaches that support both insight and practical change. Attachment-Based Therapy focuses on how early and current relationships shape patterns of trust, closeness, and coping, which can be especially helpful for relationship stress, abandonment concerns, and long-standing attachment issues.

Client-Centered Therapy emphasizes a supportive, respectful space where a person can explore emotions and choices at their own pace. It can be a strong fit for building self-esteem, working through grief, and clarifying values during life transitions. Sara also incorporates Dialectical Behavior Therapy (DBT) skills, which are practical tools for emotion regulation, distress tolerance, and more effective communication when feelings run high.

Finding the right approach is part of the work. Sara collaborates with clients to identify what feels most helpful based on goals, preferences, and the challenges that bring them to therapy, adjusting the focus over time as needs evolve.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. These options can make it easier to stay consistent with therapy, fit sessions into a busy schedule, and get support in a format that matches how each client communicates best.

Ready to start therapy with Sara Tinker?

Take the first step toward a better you.