Licensed Clinical Psychologist · Brooklyn, NY

Change happens
in the present.

Let’s begin.

Sarah J. Miller, PhD
Sarah J. Miller, PhD
Licensed Clinical Psychologist

About

Sarah J. Miller, PhD.

I am a licensed clinical psychologist providing psychotherapy, clinical supervision, and professional education in Brooklyn.

My work is psychodynamic and relational in approach, informed by attachment theory and contemporary trauma research. Particular interests include identity development, relationships and family-building, trauma and loss, and the role of language in shaping emotional life.

Questions of faith, spirituality, religious identity, and community are often deeply intertwined with psychological life and are welcome subjects of exploration in therapy.

Individual Psychotherapy

The work of
change.

Two questions sit at the opening of our work together: Who are you, and why are you here now?

The first invites a broader exploration of a person’s history, relationships, values, and ways of understanding the world. The second turns our attention to the circumstances that have made this the right time to seek help. The conversation between these questions often shapes the work that follows.

Early experiences leave their mark. They influence how we make sense of ourselves, negotiate relationships, and navigate the world. Patterns that developed long ago can continue to shape the present in ways we do not fully recognize. Therapy invites us to examine those patterns more closely and recognize how they continue to influence our lives today.

A psychodynamic, relational approach to therapy is, in part, the process of putting emotional life into words. Feelings, conflicts, and reactions that once seemed confusing or overwhelming often become easier to understand once they can be named and thought about together. Language helps transform what we simply live through into something we can reflect upon and understand.

Change happens in the present. As we come to terms with experiences that could not previously be fully known, felt, or grieved, we become less bound by the adaptations they required.

Perinatal Mental Health

Family-building and
emotional life.

The process of family-building does not always unfold as expected. Infertility, pregnancy loss, fertility treatment, reproductive decisions, pregnancy, postpartum adjustment, and the realities of raising children can evoke emotions that are powerful, conflicting, and difficult to anticipate.

Expectations often remain invisible until they are disrupted. Many people find themselves comparing their private struggles to other people’s public lives. The feeling that everyone else is moving through this stage with greater ease can be difficult to escape, even when it bears little resemblance to reality.

Therapy offers an opportunity to think carefully about these experiences and the questions they raise. Together, we explore how the journey of family-building intersects with emotional life, relationships, identity, and the expectations we carry for ourselves and our futures.

Clinical Supervision

Supporting clinicians
in their work.

Supervision is a supportive growth process that helps clinicians develop their own thinking about psychotherapy, find their therapeutic voice, and explore the parts of themselves that show up in session.

One of the central tasks of supervision is developing a clear understanding of how psychotherapy works. Every intervention reflects assumptions about what creates change, whether those assumptions are fully articulated or not. A coherent theoretical framework helps clinicians understand what they are trying to accomplish in treatment, why they are making particular interventions, and how those interventions are expected to facilitate change.

As clinicians develop greater clarity about the aims of treatment, they often become more aware of the ways their own subjectivity influences the work. Emotional reactions, assumptions, conflicts, vulnerabilities, and blind spots shape how patients are understood and how interventions are delivered.

Together, we stick close to the session material, making sense of what belongs to the patient, what we’ve inadvertently introduced, and what emerges in the space between.

Many supervisees come with strong training in cognitive and behavioral approaches and are interested in developing a clearer understanding of psychodynamic and relational thinking. Particular attention is given to translating psychodynamic concepts into clinically useful formulations that can be applied directly to therapeutic work.

I provide individual and group supervision for trainees, early-career therapists, and experienced clinicians seeking consultation, professional development, and personal growth.

Presentations & Workshops

Shared learning
and reflection.

Presentations and workshops bring people together around topics of psychological and professional interest, creating opportunities for shared learning and reflection. They serve as valuable openings to broader conversations.

Topics have included trauma, grief, perinatal mental health, psychological first aid, listening and helping skills, resilience in high-stress environments, and the intersection of emotional, relational, and spiritual life.

Presentations are tailored to the needs and interests of each audience and designed to balance conceptual understanding with practical application.

Contact

Getting started.

If you are interested in working together, please reach out by phone or email. The first step is a brief phone conversation to discuss scheduling, fees, and whether this approach to therapy is likely to be a good fit. If appropriate, we will then schedule an initial consultation session. The consultation serves as the beginning of the therapeutic process and provides an opportunity to better understand what brings you to treatment at this time.

Office 1123-A McDonald Avenue, Brooklyn, NY 11230
Phone 347-541-8578

Session Length: Individual psychotherapy sessions are 50 minutes in length.

Insurance: My practice is out-of-network. Superbills are available for patients who wish to seek reimbursement through their insurance provider.

Single Case Agreements: I do not participate with advocacy agencies or enter into single case agreements.

Telehealth: Accommodations for telehealth appointments can be arranged when deemed clinically appropriate.