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Sarah's 35-Year Journey Shows How Mental Health Care Has Evolved

Author
Craig Petronella
Published
Thu 17 Jul 2025
Episode Link
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Sarah brings 35 years of clinical expertise to our conversation, revealing how relationship therapy has transformed from a one-dimensional approach to a comprehensive science-based system. As founder of Relate Center in Austin, Texas, she's pioneered an integrated method combining physical therapists, psychotherapists, and physicians to address both emotional and physical dimensions of relationships.

The digital transformation of mental healthcare takes center stage as Sarah candidly discusses how telehealth has revolutionized therapy accessibility while introducing new challenges. She shares thoughtful strategies for maintaining therapeutic connection in virtual settings—a balancing act between convenience and depth that practitioners continue to navigate in our post-pandemic world. Her insights illuminate the profound ways technology has democratized access to mental health support while sometimes sacrificing the intimacy of in-person connection.

What truly distinguishes this conversation is Sarah's perspective on psychology's radical evolution. She articulates how the field has shifted from viewing problems as purely psychological to understanding the critical role of trauma, physiology, and somatic experiences. Modern therapeutic approaches increasingly focus on nervous system regulation—helping clients shift from fight-or-flight responses to states where healing becomes possible. This represents a fundamental reimagining of what effective therapy looks like.

Sarah doesn't shy away from addressing the ethical challenges facing mental health practitioners today, from navigating complicated regulatory environments to fighting for qu

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