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Specialized Mental Health Therapy for Women in Austin
Sara Miller Counseling provides specialized mental health support for women navigating the emotional challenges of infertility, pregnancy, postpartum transitions, and parenting. With over a decade of experience in corporate advertising and marketing, Sara shifted careers to pursue clinical mental health counseling after personal struggles with infertility and pregnancy loss. Her practice integrates neuroscience and interpersonal neurobiology to help clients understand the connection between their personal history and emotional responses.

The practice emphasizes self-compassion, boundary-setting, and breaking cycles of perfectionism and people-pleasing. Services are available in Austin, Texas, and online across the state. Sara holds a Master's degree in Clinical Mental Health Counseling and maintains specialized certifications in maternal mental health and trauma-informed therapies. The practice prioritizes accessibility through free initial consultations and sliding-scale options for those facing financial barriers.
Services
Infertility Counseling Pregnancy & Postpartum Support Parenting Therapy Perinatal Grief Counseling Mental Load Management
Details
  • Year established: 2025
Highlights and features
  • Specialized training in maternal mental health and perinatal mood disorders
  • Combines neuroscience with practical tools for emotional regulation
  • Offers free 15-minute consultation sessions for new clients
  • Maintains referral network for specialized psychiatric care
  • Committed to anti-racist and social justice principles in therapy
Associations and certifications
  • Licensed Professional Counselor (LPC) | TX License #82228
  • STAIR Method Trained Therapist
  • Dynamic Enriched Experiential Psychotherapy (DEEP) Certification
  • EMDR Trained
  • Relational Life Therapy, Level 1
  • Selini Institute Maternal Mental Health Training
What people say
Transformative emotional support Deep understanding of maternal struggles Practical tools for daily life Safe non-judgmental space Genuine compassionate approach
Services
Infertility Counseling
Specialized therapy for women navigating infertility challenges, including emotional support for pregnancy loss, IVF struggles, and family-building decisions. Combines grief processing with practical tools for managing anxiety and relationship stress. Focuses on cultivating resilience while exploring adoption, child-free living, or continued treatments.
Postpartum Support
Therapy addressing the emotional and psychological changes during pregnancy and postpartum periods. Helps clients navigate identity shifts, hormonal changes, and the mental load of motherhood using neuroscience-based techniques. Focuses on reducing anxiety and building self-compassion during this transitional phase.
Parenting Therapy
Support for parents struggling with generational patterns, behavioral challenges, and emotional regulation. Teaches nervous system-aware approaches to improve parent-child connections while addressing personal history impacts on parenting styles through practical, research-backed methods.
Perinatal Grief Counseling
Specialized grief processing for pregnancy loss, stillbirth, or termination due to medical diagnosis. Creates safe space for complex emotions while providing tools to navigate social pressures and rebuild emotional stability during this difficult transition.
Mental Load Management
Therapy focusing on reducing overwhelm from balancing multiple responsibilities. Uses brain-based techniques to improve self-regulation, boundary-setting, and stress management for women juggling career, parenting, and personal well-being demands.
People
Sara Miller
Licensed Professional Counselor
Sara Miller Counseling is a licensed therapist with specialized training in maternal mental health and trauma recovery. After personal experiences with infertility and pregnancy loss, she transitioned from corporate marketing to clinical counseling to help women navigate similar challenges.
Questions
What therapy approaches do you use?
I integrate interpersonal neurobiology, mindfulness techniques, and trauma-informed practices to address emotional overwhelm related to infertility, pregnancy transitions, and parenting challenges.
Do you offer virtual sessions?
Yes, I provide online therapy sessions for clients across Texas, in addition to in-person appointments at my Austin office.
What are your specialized areas?
I specialize in infertility counseling, perinatal mood disorders, postpartum transition support, and helping parents break generational patterns of emotional distress.
How do you handle financial accessibility?
I offer free initial consultations and can connect clients with low-cost resources through Nurtured Texas's Connect to Care program when needed.
What if I need medication support?
While I don't prescribe medication, I maintain a referral network of psychiatric professionals specializing in perinatal mental health for coordinated care.
Reviews (2)
Erin Franklin
Oct 09, 2020 Report
As Sara's longtime colleague, I can say with confidence that she is the type of therapist you want in your corner. Sara is attuned, caring, empathic, present, and committed to helping you feel less alone and deeply supported when you need it the most. While Sara is highly skilled in issues related to infertility and grief, her therapeutic presence is a gift to any client.
Shay Maglaris
Jun 18, 2020 Report
Sara is an amazing therapist trained in many modalities who offers empathy, knowledge and compassion to help individuals navigate through the hardships life throws at us. As a fellow colleague, I highly recommend Sara to anyone looking for a therapist that will truly be with them in a nonjudgmental way so they can explore all parts of themselves - the light and the dark.