Accepting new clients
1) Lincoln office
652 George Washington Hwy
Lincoln, RI 02865
2) East Greenwich office
110 Main Street
East Greenwich 02818
Teenagers (13 - 18)
Young adults / college students (18 - 24)
Specialties & expertise
- Professional challenges
- Existential challenges
- Difficult life transitions
- Individuals in crisis
- Grief and coping
- Children and adolescents
- Medication management
- Family issues
- Relationship challenges
- Obsessive Compulsive Disorder
- ADD / ADHD
- Bipolar disorder
- Chronic illness
Dr. Sarah Xavier has been a physician for over 15 years, with advanced training in Adult, Child & Adolescent, and Forensic Psychiatry from Yale University. Since her training, Dr. Xavier has worked extensively and directly with clients of all ages in a wide variety of settings and roles, including as the Medical Director of Psychiatric Services at Rhode Island Training School, the Associate Chief Psychiatrist at PAS at Butler Psychiatric Hospital, and presently, as the attending psychiatrist at the Bryant University Counseling Center. Her depth and breadth of training and positions have allowed Dr. Xavier to develop a uniquely rich perspective and an extensive treatment toolkit that she brings into her private practice. She offers the option of providing both medication management and psychotherapy together, or medication alone, in concert with a separate therapist.
Dr. Xavier recognizes that medication is not for everyone, and therefore she offers long sessions with the goal of knowing the client well. Dr. Xavier skillfully treats clients who are in crisis, professionals who are functioning well, adults and adolescents experiencing major losses and difficult life transitions, as well as young children.
Dr. Xavier maintains a focus on ethics and evidence-based treatments while providing compassionate care. She places a high value on helping her clients become educated collaborators in the process of treatment. She develops carefully crafted treatment plans that are tailored to one's specific needs, fears, abilities, and motivation level.
Note: Osteopathic physicians (DOs) are fully licensed medical doctors who practice the entire scope of medicine that allopathic physicians (MDs) practice.
Anxiety – Generalized anxiety, social anxiety, panic attacks; performance anxiety; feeling overwhelmed from writing many lists
Compulsive behaviors, Obsessive Compulsive Disorder (OCD) – Including compulsive overeating, compulsive spending; Using exposure and response prevention to help clients confront OCD, e.g. concern with and/or fear of germs and becoming 'contaminated'
Depression – Inability to get out of bed, lack of motivation; sleep and energy disruption, overall mood disturbance
Grief and Coping – Processing the loss of a loved one or any form of grief
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
Medication management – Conducts risk-benefit analyses when prescribing medication, working with patients as their consultant, offering information about benefits and side effects
ADD / ADHD (Attention-deficit/hyperactivity disorder) – Managing ADHD and its effects on decision making, studies, relationships, and work
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
Existential challenges / crises – Questioning purpose, spirituality, existence; finding one’s path and voice, especially when it differs from society's expectations
Family issues – Helping young adults navigate family issues; helping parents with their own issues within the context of supporting children
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
Dr. Xavier is not in-network with any insurances.
First appointment: $350/session (45min) or $600/session (90min)
Ongoing medication management: $200/session (25min)
Ongoing therapy sessions: $350/session (45min)
Message to clients
"As high school students, you are leaving what it is familiar (rules, friends, a secure base) and heading off into a time of much change, uncertainty, and much less oversight. You will be tasked with fitting in and possibly jockeying for academic or athletic rank. You will be learning who you want to be and how you wish to soothe yourself in the context of new opportunities, pressures and stressors (alcohol, overnights, drugs, sex, food, heartbreak, academic demands).
As a college student, you are experiencing much of this in real time. You may also be figuring out if you can sustain yourself after college (independent of your family of origin), if you can achieve status, happiness, or love. For all of these reasons, this time period in your life is considered a major life transition.
For medical students, you may experience the pressure of making decisions that may have a high risk for grave consequences. Given the complexity of these factors, introspection via therapy allows you to dictate who you want to be during this time, rather than being dictated by your changing emotions."
Insight oriented Psychotherapy
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)
Existential Therapy Existential therapy is a therapy approach that both embraces human potential and recognizes human limitation. The breadth of existential theory falls into four major themes, which it sees as the root of most psychological problems: 1) Death, 2) Freedom (& Responsibility), 3) Isolation, and 4) Meaninglessness. (learn more)
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)
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
RI Training School, Director of Psychiatric Services
Butler Hospital, Patient Assessment Services, Associate Chief Psychiatrist
Bradley Hospital, Pediatric Partial Hospital Program (Children ages 0-6), Attending Psychiatrist
RI Family Court, Mental Health Clinic, Weekly Psychiatric Consultant
Butler Hospital, Risk Manager
Bryant University, Counseling Services, Attending Psychiatrist
RI Psychological Association, Seminars on Psychopharmacology, Invited Speaker
CT Mental Health Clinic, State Psychiatric Hospital, Chief Resident
Yale University Mental Hygiene Clinic, University Student Counseling Services
US Dept. Of Affairs, West Haven VA, National Center for PTSD, PTSD Clinic
Death Row, Livingston Texas
Yale School of Medicine Division of Law and Psychiatry, Forensic fellowship, 2006 - 2007
Yale Child Study Center, Child psychiatry fellowship, 2004 - 2006
Yale School of Medicine Department of Psychiatry, Adult psychiatry residency
The University of New England College of Osteopathic Medicine, DO, 2000
Bowdoin College, BA, Lucien Howe Prize (faculty nominated award for 4 year career of highest conduct and character), 1996