Sara McWilliams, MSW

Individual and Relationship Therapist
Philosophy and Approach:
I believe that therapy is a collaborative, relational process where we work together to help you discover your best ways of living and being. I work from a strengths-based stance and understand that each individual exists in relationships and systems with a myriad of intersecting identities. I am grounded in developmental and psycho-dynamic theories, rooted to social work values and ethics, and believe that anti-oppressive work starts with me. I am continually training, and I practice with skills in drama therapy, narrative and story work, CBT, attachment, mindfulness and radical acceptance, DBT, and EMDR. You’ll find me to be direct but soft, goal-oriented but process-driven, flexible and transparent about the right therapeutic approach for your needs unfold, and keenly attuned to our therapeutic relationship.

Sliding Scale Fee Structure: Owls’ Nest North is committed to making services accessible to everyone regardless of ability to pay. We seek to catch those who fall through the cracks of care in our current system. My sliding scale is determined by the current fee schedule of Owls’ Nest North. If you are un- or under-insured and therefore forced to pay out-of-pocket, please let me know prior to our first session, so we can determine your eligibility for a sliding scale fee. If you are experiencing difficulty navigating the new healthcare system, we are also happy to support and advocate for you in becoming insured.

At this time, I am only available to see OHP subscribers and cash/out-of-pocket payers. My fees with a cash-pay discount are: $80 for individuals and $100 for couples/families.

Cancellations: Occasionally life intervenes and prevents us from following through with our commitments. I trust our mutual respect of one another’s time. As such, it is our policy to collect my full session fee for no-shows and sessions cancelled with less than 24 hours notice.

If you are an OHP client, our contract does not allow us to charge for missed appointments and we would not want to, but we are unable to hold a regular appointment space after two missed/late cancelled appointments. You can, however, schedule into cancellation spots on your clinician’s schedule.

Bio: I completed the Masters of Social Work degree from Portland State University as part of a clinical track. I also hold a Bachelor of Fine Art degree in Theater Arts with a concentration in acting from Kent State University. I was a teacher for many years working primarily in early childhood and with adolescents, and am currently a theater artist working in social justice, improv, and true story theater. I’m often asked about drama therapy, and I welcome those questions! You can also visit to explore and get a sense of what drama therapy is and isn’t. For more information about EMDR, eye movement desensitization and reprocessing, please visit

Licensure: As a CSWA, (clinical social work associate) registered with the Oregon Board of Licensed Social Workers, I abide by its guidelines and the code of ethics set forth by the NASW, or National Association of Social Workers:

I am under the supervision of Heather Sutch, LCSW. Additionally, I am a registered intern with the NADTA, or North American Drama Therapy Association: I abide by its guidelines and code of ethics. I am under the supervision of Jackie Paris, LMFT, RDT/BCT. Please do not hesitate to ask if you have questions about this.

Contact: * 503.281.1166

Please be advised that email is not a secure form of communication, and while it is unlikely that your email communications would be of interest to nefarious pursuits, it is your risk to take. Owls’ Nest and I accept no responsibility for misuse or abuse of your communications. In an effort to minimize exposure/risk, we ask that you do not include any sensitive or process-oriented information in email, and utilize it solely for the purpose of logistical issues.