Sarah Karytko PsyD

Sarah Karytko

Psychologist, PsyD

Not accepting new clients; find available Brookline therapists here



Young adults / college students (16 - 24)


Mon: 11:00am-6:00pm
Tue: 10:00am-5:00pm
Wed: 11:00pm-6:00pm
Thu: 10:00am-5:00pm
Fri: Closed
Sat: Closed
Sun: Closed

Specialties & expertise

  • Anxiety

  • Depression

  • Eating disorders

  • Substance use

  • Trauma

  • Loss and grief

  • Relationship issues

  • LGBTQ and sexuality topics

  • Adjustment to college or graduate school

  • Life transitions

Professional statement

Dr. Sarah Karytko is a psychologist in private practice in Wellesley, Massachusetts. Her practice focuses on treating clients with anxiety, depression, eating disorders, substance use, and trauma. She especially enjoys seeing college students and adults as they navigate life transitions, individuate away from their family of origin, and develop their self-identity.

Dr. Karytko has extensive experience empowering individuals to live life free from substance use. Taking a psychodynamic and relational approach, Dr. Karytko engages clients to examine root causes of substance use in order to ensure their longterm recovery. She also specializes in helping clients experiencing eating challenges through a collaborative, team-based approach, consulting with psychiatrists, dietitians, and primary care physicians as necessary. She strives to understand each client as a whole being, easing away from traumatic past experiences and letting go of coping methods that no longer serve them.

Dr. Karytko creates a warm, accepting environment that is conducive to helping each client make progress towards their individual goals.


Adjustment to college or graduate school – Navigating separation from family and the challenges of new a new environment and new relationships
Anxiety – Generalized anxiety, social anxiety, panic attacks
Depression – Sleep and energy disruption, overall mood disturbance, inability to enjoy yourself, and difficulty being motivated, amongst many other symptoms
Eating disorders – Including anorexia, bulimia, binge eating, purging, calorie counting, body image concerns
LGBTQ and sexuality topics – Exploring questions related to sexuality and gender identity; coming out or being closeted; relationships; family and cultural challenges
Life transitions –  Adjusting to college, new relationships, career transitions and direction; mid-life existential, relationship, and career challenges; losing one’s drive or burn out; learning self-care
Loss and grief – Processing the loss of a loved one, any form of grief; processing he emotional aspects of personal illness or the illness of a loved one
Substance use – Prevent and reduce challenges related to tobacco, marijuana, and/or alcohol, such as anxiety, depression, and challenges in relationships
Relationships –  Feeling unsatisfied in your partnership; communication challenges; addressing issues of power and voice; contemplation of separation; questioning one’s place in the relationship; breakups, friendships, dating
Trauma – Including dealing with past sexual assault, childhood trauma, environmental trauma (e.g. witnessing/experiencing violence), PTSD (post-traumatic stress disorder)

General expertise

Academic issues – Adjusting to college; managing developmental and emotional challenges in school; balancing schoolwork and personal life
Existential challenges / crises – Questioning purpose, spirituality, existence; finding one’s path and voice, especially when it differs from society's expectations
Self harm – Injuring of body tissue without suicidal intentions, including but not limited to cutting, burning, scratching, and hitting


Dr. Karytko is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.

Out-of-pocket fees

  • Initial session: $225 (60min)

  • Ongoing sessions: $185/session (50min)

Therapist's note: Dr. Karytko can provide you with paperwork for reimbursement from your insurance company if you are seeking out-of-network sessions.

Message to clients

"Seeking help is always difficult, but finding the right person to help you can often be just as hard. While solid credentials, accredited education, and clinical training are essential, it’s also just as crucial to find a therapist you can trust. I take a collaborative, empowering, and in-depth approach. I believe that a supportive relationship between therapist and patient is where lasting change begins, and eventually leads to a deeper understanding of yourself. Together, we will work toward making changes and reaching your personal health and well-being milestones. I facilitate a warm, accepting environment that offers understanding and care, coupled with supportive challenges to help you grow."

Treatment approaches

Psychodynamic TherapyThe aim of psychodynamic therapy is to bring the unconscious mind into consciousness - helping individuals unravel, experience and understand their true, deep-rooted feelings in order to resolve them. It takes the view that our unconscious holds onto painful feelings and memories, and that the defenses we develop to ensure these difficult memories do not surface from our unconscious often do more harm than good. (learn more)
Cognitive Behavioral Therapy (CBT)In cognitive behavioral therapy, you work with a therapist in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. (learn more)
Dialectical Behavioral Therapy (DBT) Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that often used to treat disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), eating disorders, and particularly chronic borderline personality disorder. It teaches skills such as mindfulness, pain tolerance, interpersonal effectiveness, and emotional regulation. (learn more)
Family SystemsFamily systems theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit. Family system therapy may be used to address conflict stemming from the family unit by working on a client's ability to maintain individuality while maintaining emotional contact with the group. (learn more)

Education and work experience

Private Practice, 2017 - Present
Cambridge Eating Disorder Center, 2015 - 2016

California School of Professional Psychology at Alliant International University, PsyD, 2015
University of San Francisco, MA, 2009