Sarah Macedo, LICSW - Therapist in Bristol, RI

Sarah Macedo

Licensed Independent Clinical Social Worker, LICSW

Accepting new clients for daytime appointments with a 2-3 week wait


Offers remote video sessions


Young adults / college students (18 - 24)


Mon: 9:00am-6:00pm
Tue: 9:00am-6:00pm
Wed: 9:00am-2:00pm
Thu: 9:00am-6:00pm
Fri: Closed
Sat: Closed
Sun: Closed

Specialties & expertise

  • Trauma

  • Survivors of sexual assault

  • Academic pressure

  • Graduate school challenges

  • Sexuality and gender identity

  • Anxiety and depression

  • Mind/body connection


  • Anger management

  • Bipolar disorder

  • Chronic illness

  • Couples counseling

  • Parenting

  • Self-harm

  • Substance use

Professional statement

Sarah Macedo is a therapist in Bristol, RI with expertise in helping individuals with anxiety, depression, and trauma, particularly survivors of sexual assault. She also is passionate about working with the LGBTQ community and works with individuals struggling with their sexuality and gender identity. Located a 4min drive from Roger Williams University, she sees many students, especially in the law and forensic psych programs, who are managing academic pressures.

Sarah works with young adults, college students, adults, parents, and couples to find a creative treatment approach that works well for the specific issues the clients would like to focus on. She practices Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, mindfulness practices, narrative therapy, and supportive therapy. As a former yoga instructor, her interventions are aware of the mind/body connection and the impact of emotional health on the physical body.

Sarah emphasizes starting where the individual is when they walk in the door, and creates an empathetic and supportive space in which to do so. She works hard to help individuals who have been feeling "stuck" in their past experiences with mental health care.


Academic pressures – Supports high-achieving individuals who are feeling overwhelmed and are struggling with balancing the pressures of coursework; sees many students from Roger Williams University, especially the law and forensic psych programs; helps students find ways to ground themselves, cope with their stress, and reach their goals
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
LGBTQ and gender identity issues – Supports individuals in the process of coming out, relating to others, relationships, and family issues
Transgender identities – Provides therapeutic support before, during, and after transition. Regularly attends conferences on transgender topics.
Trauma, including sexual assault – Sexual assault (especially as a university student), accidents, domestic violence; processing memories of the trauma

General expertise

ADD / ADHD (Attention-deficit/hyperactivity disorder) – Managing ADHD and its effects on decision making, studies, relationships, and work; helping with organizational challenges
Anger management – Managing anger and its impact on personal and work relationships
Bipolar disorder – Using coping and preventive strategies to stabilize swings between elevated mood or irritability and depressive episodes
Chronic illness – Managing chronic illness ; receiving a diagnosis, contemplating and processing related emotions, viewing through a holistic lens
Couples counseling – Improving communication and problem solving skills with couples from all gender and sexual identities
Parenting – Helping parents with their own issues within the context of supporting children
Self harm – Injuring of body tissue without suicidal intentions, including but not limited to cutting, burning, scratching, and hitting
Substance use – Prevent and reduce challenges related to tobacco, marijuana, and/or alcohol, such as anxiety, depression, and challenges in relationships


  • Blue Cross Blue Shield

  • Brown University Health Insurance

  • Harvard Pilgrim Health Care

  • Johnson & Wales University (United Health)

  • Providence College (United Health)

  • United Health

  • RISD Student Insurance (United Health)

  • URI / University of Rhode Island Student Insurance (United Health)

Out-of-pocket fees

  • Initial session: $145/session

  • Ongoing sessions: $125/session (45min)

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

Message to clients

"Sometimes all you need is a place that you can just be honest and authentic about what is really happening for you. Sometimes you need a person who will listen with empathy and respond in a non-judging manner. Reaching out can be the hardest step in this process. I hope that we will work together to better understand the areas in your life that are causing stress and help to find ways for you to feel grounded and in control of your emotions and stressors. My clients appreciate the honest feedback they receive from me and often find that they leave my office well equipped to handle their stressors. Trans safe and knowledgeable."

Treatment approaches

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)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)
Narrative Therapy
Supportive TherapySupportive psychotherapy is used primarily to reinforce a patient’s ability to cope with stressors by giving clients the opportunity to express their feelings and thoughts about the issues. Clinicians help patients learn how to move forward and make decisions or changes that may be necessary to adapt, either to an acute change, such as the loss of a loved one or severe disappointment, or to a chronic situation, such as an ongoing illness. (learn more)

Education and work experience

Private practice,  2014 - Present
Shri Studio, Community-based Yoga Instructor, 2013 - 2015
Butler Hospital, 2007 - 2015

Boston University, MSW, 2009