Sarah Jane Thomas (she/her)

MA, LMFT #121461
Accepting Clients

Fat-positive, HAES®-aligned & Body Trust® certified therapist helping Californians heal body image and rebuild self-trust.

Licensed Marriage & Family Therapist in San Francisco, CA

About My Clients

You’ve spent years trying to make peace with your body—and you’re tired of feeling like it’s a project to fix. I work with women and gender-expansive adults healing from diet culture, perfectionism, and body shame. My clients are thoughtful, creative, and ready for therapy that honors the full story—their nervous system, identity, and lived experience. I offer online therapy for adults throughout California, including San Francisco, Los Angeles, San Diego, and the Bay Area.

My Background and Approach

know how exhausting it can be to feel like you’re always fighting your body or mind. In therapy, we slow things down and get curious together. I’ll help you notice what’s happening in your body when shame, anxiety, or perfectionism show up, and support you in finding your way back to steadiness and self-trust. My work is grounded in the Body Trust® framework, somatic awareness, and mindfulness-based practices. I also use IFS-informed parts work to help you understand and care for the parts of you that have been working hard to keep you safe. My hope is that therapy feels like a place to exhale—where you can build practical tools, develop compassion, and feel more at home in yourself.

My Personal Beliefs and Interests

I believe that healing is about coming home to yourself—not becoming someone new. We all learn ways to survive that made sense at one time, and I don’t see those patterns as flaws to fix but as messages from parts of us that need care. I don’t believe in “willpower” or “discipline” as measures of worth. I believe every body deserves safety, respect, and belonging, no matter its size, ability, or history. I’m a fat-positive, neurodivergent-affirming, and LGBTQ+ affirming therapist. My work is guided by the values of body liberation, collective healing, and accessibility in mental health. Outside of therapy, I support movements like Health at Every Size® and the Body Trust® community, and care deeply about dismantling systems that make people feel broken for being human.

I offer online counseling in the following states:

At A Glance

  • Experience: 11 years of practice
  • Languages: English
  • Rate: $250 - 250/session

Reach out to Sarah Jane