Say With Sarah PLLC
About
Say With Sarah PLLC is a Bellingham, Washington therapy practice led by Sarah W. Belka, MA, LMHC (WA), LPC (OR), ATR. Sarah offers evidence-based care for anxiety disorders, OCD, body-focused repetitive behaviors (BFRBs), panic, phobias, parenting concerns, and trauma — integrating Exposure and Response Prevention (ERP), Inference-Based CBT (I-CBT), art therapy, and compassionate, identity-affirming care. Clients can meet in person in Bellingham or via secure telehealth acro...
Services & pricing
Individual Therapy (In Person, Bellingham)
Evidence-based therapy for OCD, anxiety, BFRBs, and trauma. Ages 5+ in person.
More on their site- Contact for rates
Individual Therapy (Telehealth OR + WA)
Secure telehealth for ages 13+ across Oregon and Washington.
More on their site- Contact for rates
OCD Support Group — What if it all works out
Alternating Wednesday evenings 5:00–6:15 pm PST.
More on their site- $60/session
OCD Support Group — Turns out, that was OCD
Alternating Wednesday evenings 5:00–6:15 pm PST.
More on their site- $60/session
Family Coaching (SPACE-trained)
Support for parents and partners of someone living with anxiety or OCD.
More on their site- Contact for rates
Clinical Supervision (LMHCA)
Washington State Approved Supervisor for associates specializing in anxiety, OCD, and trauma.
More on their site- $125–$250/meeting
Provider Group Consultation
Online Anxiety & OCD consultation groups, alternating Fridays 9 am–12 pm.
More on their site- $60/meeting
Specialties
Photo Gallery
Find Us
Bellingham
1440 10th St, Unit 101-B
Bellingham, WA 98226
Contact Information
Frequently Asked Questions
Q1:Do you offer telehealth?
Yes. Secure telehealth is available for clients ages 13+ in Oregon and Washington. In-person sessions are available in Bellingham for ages 5+.
Q2:What approaches do you use for OCD and anxiety?
Sarah offers ERP, Inference-Based CBT (I-CBT), ACT-informed ERP, rumination-focused ERP, and art therapy integrated with evidence-based anxiety and OCD treatment.
Q3:Do you treat body-focused repetitive behaviors (BFRBs)?
Yes. Sarah uses Comprehensive Behavioral Treatment (ComB) and Habit Reversal Training (HRT) with a self-compassion-oriented approach.
Q4:Do you offer family or parent support?
Yes. Sarah is SPACE-trained and supports parents and partners using Eli Lebowitz protocols for families affected by anxiety and OCD.
Q5:What are your office hours?
Monday–Thursday, 10:00 am–5:00 pm. Sarah typically responds to email within 24–48 business hours.
Q6:Are you LGBTQIA+ affirming?
Yes. Sarah's practice is affirming of all bodies, identities, genders, relationship dynamics, and sexualities.
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