Seeing adolescents and adults in person and by telehealth

Sarah Carey MSW, LICSW

Therapist for adolescents and adults. ADHD, anxiety, depression and trauma, with DBT skills that hold up outside the room.

In person and by telehealth across Massachusetts

Sarah Carey, MSW, LICSW, therapist at Modern Mentality
Sarah Carey MSW, LICSW Licensed Independent Clinical Social Worker Adolescents and adults DBT and trauma-informed care
Adolescents and adultsTeens from 15 and adults, with families brought into the work when that is what helps a young person.
Tools that work on a TuesdayEmotion regulation skills, ADHD-friendly systems and strategies to quiet the inner critic. Nothing that falls apart at school or at work.
DBT and trauma-informedEvidence-based practice adapted to how a developing mind, and a busy adult life, actually work.
Therapist and prescriber, one roofSarah coordinates directly with the prescribers here, so therapy and medication move in the same direction.
About Sarah

Meeting People Where They Are

Sarah Carey is a Licensed Independent Clinical Social Worker in Massachusetts who knows what it is like for a young person to feel misunderstood. She works with adolescents and adults living with ADHD, anxiety, depression and behavioral challenges, and she builds the kind of therapeutic relationship where someone can say the real thing out loud and then do something about it.

Her experience runs across community-based programs and specialized educational environments, which is where she learned to tailor an intervention to the person in front of her rather than to a manual. The approach is practical: a safe, trusting relationship first, then concrete tools that work in real life.

Sarah uses evidence-based practices including Dialectical Behavior Therapy and trauma-informed care, adapted to how developing minds work and to the demands of adult life. Patients leave with emotion regulation skills, ADHD-friendly systems and strategies to quiet the inner critic. Most importantly, they learn they do not have to navigate this alone.

For teens, families are part of the work. Sarah collaborates closely with parents so that what happens in the room is supported at home, and so parents understand what their child needs without having to guess.

In her words

I know what it is like for young people to feel misunderstood. Their experiences matter, and they deserve support that fits. I meet them where they are, with real understanding.

Sarah Carey, MSW, LICSW
Powder Point Bridge, Duxbury
Areas of focus

What Sarah Treats

Choose one to read how she approaches it.

ADHD

Therapeutic support for people whose ADHD brain feels chaotic behind an outwardly successful life. Sarah builds ADHD-friendly coping systems that actually hold, and coordinates with the prescribers here when medication is part of the plan.

Skills that hold, coordinated with your prescriber

Anxiety

Anxiety that keeps a person second-guessing themselves, including perfectionism and social anxiety. The work is concrete: understand the pattern, build the skill, use it in the situation that used to win.

Perfectionism and social anxiety included

Depression

Evidence-based therapy for adolescents and adults experiencing depressive symptoms, emotional ups and downs and low motivation, paced in pieces small enough to actually start.

Rebuilding momentum

Trauma

Trauma-informed care using DBT and therapeutic techniques adapted for developing minds and complex experiences. Every interaction is grounded in how trauma shapes development, behavior and relationships.

Trauma-informed, paced to what you can tolerate

Behavioral Challenges

Collaborative work with young people and their families to address behavioral challenges, build emotional regulation and create a home environment that supports lasting change.

Families in the room when it helps
Is this a match?

Who Sarah Works Best With

Fit matters. Here is an honest read on both sides of it.

Sarah is probably a good fit if you

  • Are a teen, or the parent of one, who needs a therapist who takes young people seriously
  • Are an adult who wants concrete skills rather than another round of open-ended talking
  • Want DBT-based tools for emotion regulation, distress tolerance and interpersonal effectiveness
  • Want a therapist who will work with your family, not around it
  • Are working with a prescriber here and want therapy that actually talks to them
  • Have tried therapy before and found it too vague, too gentle or too abstract

Sarah may not be the right match if you

  • Want medication management. James Kennedy, Jillian McNeil and Alyssa Plaud Mainelli are the prescribers on the team
  • Want couples therapy as the main focus. Sarah’s work is individual therapy
  • Are in acute crisis and need stabilization rather than ongoing outpatient therapy

Not sure? Our intake team will match you with the right clinician on the team, even if it is not Sarah.

Therapeutic approach

Evidence-Based, and Real

Dialectical Behavior Therapy

Emotion regulation, distress tolerance and interpersonal effectiveness, adapted specifically for how younger minds process and learn, and for adults who need the skills to work under pressure.

Trauma-Informed Care

Every interaction is grounded in an understanding of how trauma impacts development, behavior and relationships. The pace is set by what you can actually tolerate.

Practical Tools

Concrete strategies that work in real life. No abstract concepts that fall apart at school or at home. Emotion regulation, ADHD-friendly systems and self-compassion that is built, not assigned.

Family Collaboration

For adolescents, parents are partners. Sarah helps families understand what their child needs and how to build a home environment that supports the work.

What happens next

From First Contact to a Plan

Openings are often available within two weeks.

1

Request an intake

Online, in about two minutes, or by phone at (781) 803-7757. Tell us what you are looking for; you do not need to have it figured out.

2

We verify your benefits

Our team reaches out within two business days, checks your insurance before your first visit, and confirms what is open on Sarah’s schedule.

3

The first session

A real conversation about what is happening and what you want to be different, with a plan for how you will get there.

4

Skills, in use

Every session builds something you can use before the next one, and progress is checked against what actually happened in your week.

Education and training

Clinical Background

Master of Social WorkGraduate clinical training in social workMSW
LICSWLicensed Independent Clinical Social Worker, MassachusettsIndependent clinical licensure
Community-Based ProgramsTherapeutic work with young people across community settingsDiverse clinical settings
Specialized Educational EnvironmentsTailored interventions for adolescents inside school-based and specialized programsWhere practical tools get tested
Modern MentalityProvides clinical supervision within the practiceSupervising clinician
Get started

Ready When You Are

To schedule with Sarah, submit an intake request or call the office. Our intake team will confirm what is open on her schedule and match you with the right clinician if it is not her. Benefits are verified before your first visit.