therapy for
body image + self worth
across california

"A joyful fat woman with brown wavy hair and sunglasses smiling broadly against a soft, blurry floral background, embodying body liberation and self-trust.

Fat-positive, neurodivergent-affirming online therapy for women and gender-expansive professionals & creatives.

You don’t need more rules — you need room to trust yourself again.

Move beyond body shame, rebuild self-trust, and create a grounded, kinder relationship with food and your body.

Profile of a confident fat Asian femme person with a black bob, glasses, and red lipstick over lavender florals. Fat-positive, neurodivergent-affirming therapy.

If you’re here, you’ve likely spent years trying to feel at home in your body — and still end up exhausted by the self-criticism.

You might notice:

  • Feeling stuck in the same body image spiral, even when you “know better”

  • Burnout from trying to control food or appearance

  • Anxiety about being judged — at work, in photos, or by family

  • Longing for peace with your body, but unsure where to start

Ditch the Shoulds. Find Your Way.

It’s possible to transform your relationship with your body + food.

You deserve to…

  • Feel at ease and accepting of your body — just as it is

  • Trust your body’s cues instead of looking outside yourself for rules

  • Set and hold boundaries that protect your peace

  • Feel grounded, confident, and connected

  • Reclaim your hunger and fullness cues and eat with trust again

  • Have tools to navigate life’s rough parts — anxiety, stress, or shame — with compassion

Calm fat person with light brown skin and textured brown hair, eyes closed and chin lifted over pink florals. Body acceptance and self-trust therapy.

You don’t have to fight your body anymore. A kinder way is possible.

Let’s Create a Kinder Way Forward, Together

my specialties

Headshot of Sarah Jane Thomas, LMFT—fat-positive body image therapist—with dark brown hair, gold glasses, and red lipstick in a denim shirt.

hey, i’m sarah!

I’m a Body Trust®-Certified, size-inclusive, Health at Every Size®-aligned therapist offering online therapy across California. I help thoughtful, high-achieving women and gender-expansive adults heal their relationship with food and body, rebuild self-trust, and live with more ease and confidence.

Everyone deserves safety, respect, and inner trust in their bodies — and that includes you.

Start Building Inner Trust Today

I offer individual online
therapy to folks in the
San Francisco Bay Area
& across California.