You’re More Than What You Accomplish

Mental health therapy for high-performing adults in Nashville, Tennessee.



Steadfast Living Therapy in Brentwood, TN

You’re More Than What You Accomplish

Mental health therapy for high-performing adults in Nashville, Tennessee.


Steadfast Living Therapy in Brentwood, TN

Are you tired of:


Your life looking great on paper but feeling unfulfilling?


Feeling constantly stressed and anxious?


Tying your self-worth to what you achieve in your sport or career?


Feeling burned out and uninspired?

Anxiety and productivity are a part of life, but they don’t have to run your life.

Actionable Therapy for High Performers


We’ll use Acceptance and Commitment Therapy (ACT), Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), or a combination of the three to help you lean into a meaningful life.


You’ll be given action items, worksheets, articles, reflection questions, book recommendations, and other tools to help you extend what we are working on to life outside the therapy room.


I’m not a “sit back and nod” therapist. My style is active and direct, like a coach. I’ll provide questions, observations, and feedback to help you understand and change patterns that aren’t working well for you.

Chat icon

Values-Based Therapy

Ideal for anxiety, perfectionism, depression, and life transitions. We’ll team up to identify what’s most important to you, figure out what’s getting in your way, and develop action steps to help you align your life with your values.

chair icon

EMDR Therapy

A structured and powerful therapy used to desensitize and reprocess distressing memories that are contributing to anxiety. You can learn more about EMDR Therapy here.

writing icon

Short-Term Therapy

You don’t have to be in therapy forever. Learn practical skills and tools you can use independently to support yourself through your current stressors and beyond.

You don’t have to figure it out on your own.

You’re constantly taking the lead in your life. I don’t expect you to lead your therapy sessions too. I’ll provide direction, structure, and evidence-based interventions to guide you toward your goals. You’ll be invited to provide feedback throughout our work together to ensure our focus and approach are meeting your needs.


“Sara is dedicated and passionate about this work. She brings a wonderful blend of inquisitiveness, psychoeducation, and warmth to her sessions. She is wholeheartedly invested in helping her clients experience healing and growth. I highly recommend Sara!”

– Kaelie Sooy, LCSW

“Sara is one of the best therapists who I have had the pleasure of closely training with and working alongside. She has a kind, empathetic, and approachable manner that makes clients feel at ease. This, coupled with a collaborative style that helps her clients to feel truly “seen” and supported. One of the most incredible things that I have been able to witness is Sara’s formidable skill in executing evidence-based therapies to help individuals successfully meet their goals. Along with her undeniable talent, I can’t recommend Sara more highly for her professionalism and her wealth of knowledge in the therapy field.”

– Rebecca Baumgardner, LCSW, LAC

“Sara is a brilliant clinician. She is direct, but thoughtful and helps type A clients establish their priorities and heal from trauma. She is LGBTQ+ affirming.”

– Raven O’Rourke, LCSW

Here’s How to Get Started…

Step one

Step One

Schedule a free 15-minute consultation to go over any questions you have and see if we’re a good match.

Number two

Step Two

Participate in an intake session. You’ll share more about you and your goals. We’ll begin to develop a game plan and pick a session frequency that fits your needs and lifestyle.

Step 3

Step Three

We’ll meet weekly, biweekly, or monthly to execute the plan. You’ll practice applying what you learn in session to lean into a meaningful life.

Many High Performers Feel Anxious and Unfulfilled

I provide actionable mental health therapy to help you work with anxiety and untangle your identity from your achievements, so you can lean into a life driven by values not fears.

I offer in-office therapy for adults in the Nashville area and video sessions for adults residing across Tennessee and Montana.

Sara Milam, Steadfast Living in Tennessee