Sara Kerai Counseling + Evaluation Services

Sara Kerai Counseling + Evaluation Services I am licensed to provide teletherapy to clients in DC, Maryland, and Virginia (pending.)

I’m so pleased and honored to be speaking at Gilda’s Club tonight about “When Cure is Not the Goal: How to Have Difficul...
07/16/2026

I’m so pleased and honored to be speaking at Gilda’s Club tonight about “When Cure is Not the Goal: How to Have Difficult Care Conversations.”

This event is open to the public. Feel free to join the conversation.

Healthcare/Professional Referral | Cancer Support Community | Employment Opportunities | Member Portal | Frequently Asked Questions

Goodness, this video essay about caring for aging parents was completely gutting, much-needed, and, in my experience aft...
07/08/2026

Goodness, this video essay about caring for aging parents was completely gutting, much-needed, and, in my experience after supporting family caregivers for 20 years, very accurate.

I admire the vulnerability and honesty of everyone who shared their stories. Do you need a safe space for sharing yours?

Find me at SaraKerai.com.

Behind closed doors, millions of Americans are stepping into one of the hardest roles they’ll ever take on: caring for their aging parents.

I'm not the only therapist providing evaluations for immigration cases, but I do feel confident that I'm a good one. Imm...
05/27/2026

I'm not the only therapist providing evaluations for immigration cases, but I do feel confident that I'm a good one.

Immigration attorneys appreciate that I am:
- Compassionate
- Communicative
- Thorough
- Timely
- Open to feedback
- Professional
- Collaborative

Are you an immigration attorney specializing in asylum cases, extreme hardship waivers, removal proceedings, U-Visas, T-Visas or VAWA cases? Reach out to me through SaraKerai.com and let me know how I can help your clients.

  is back! Today I'm sharing "How the Worst Day of My Life Became the Best," by Andrea Gibson, a q***r poet and activist...
05/19/2026

is back! Today I'm sharing "How the Worst Day of My Life Became the Best," by Andrea Gibson, a q***r poet and activist who died of ovarian cancer in 2025. Andrea's fearless, wholehearted embrace of life-limiting illness, and the emotional landscape around it, was truly stunning. I love the question, "What part of your life's record is skipping?"

How the Worst Day of My Life Became the Best

When you are trapped in a nightmare, your motivation to awaken will be so much greater than that of someone caught up in a relatively pleasant dream.
—Eckhart Tolle

When I realized the storm
was inevitable, I made it
my medicine.

Took two snowflakes
on the tongue in the morning,
two snowflakes on the tongue
by noon.

There were no side effects.
Only sound effects. Reverb
added to my lifespan,
an echo that asked—

What part of your life’s record is skipping?
What wound is on repeat?
Have you done everything you can
to break out of that groove?

By nighttime, I was intimate
with the difference
between tying my laces
and tuning the string section

of my shoes, made a symphony of
walking
away from everything that did not
want my life to sing.

Felt a love for myself so consistent
metronomes tried to copyright my
heartbeat.

Finally understood I am the conductor
of my own life, and will be even after I
die.

I, like the trees, will decide what I
become:
Porch swing? Church pew?
An envelope that must be licked to be
closed?
Kinky choice, but I didn’t close.

I opened and opened
until I could imagine that the pain
was the sensation of my spirit
not breaking,

that my mind was a parachute
that could always open
in time,

that I could wear my heart
on my sleeve and never grow
out of that shirt.

That every falling leaf is a tiny kite
with a string too small to see, held
by the part of me in charge
of making beauty
out of grief.

From You Better Be Lightning (Button Poetry, 2021) by Andrea Gibson. Copyright © 2021 Andrea Gibson. Photo by Shaojie on Unsplash.

I pride myself in creating safe spaces for my immigration clients. 90% of them have never spoken to a mental health prof...
05/18/2026

I pride myself in creating safe spaces for my immigration clients. 90% of them have never spoken to a mental health professional before, and most of my clients are carrying trauma that goes back to childhood. At its best, the immigration evaluation is an opportunity to share a vulnerable story for the first time without being re-traumatized. When I receive kind feedback from a busy immigration attorney who is working on a high-stakes case, it means the world to me.

Everyone needs to know about the 988 resource.  This is a national-wide mental health hotline available in English and S...
05/08/2026

Everyone needs to know about the 988 resource. This is a national-wide mental health hotline available in English and Spanish, 24-7. Help is always available. health

Heavy thoughts don't have to be carried alone. This is your reminder that there's always someone ready to listen. 💬

Call, text, or chat 988.

❓Want to know THE hardest holiday for so many of my clients? Mother’s Day! 🥺For folks who are grieving their mothers, es...
05/08/2026

❓Want to know THE hardest holiday for so many of my clients? Mother’s Day!

🥺For folks who are grieving their mothers, estranged from their mothers, have fraught relationships with their moms, or struggling with infertility, Mother’s Day can be a complicated field of emotional landmines.

📵The card aisle in the grocery store, the ads, the social media: all of it can activate waves of emotion.

🌱You don’t have to navigate the mother wound alone.

—>Visit SaraKerai.com and find my free download about whether therapy is right for you.

Have you ever wondered if   is right for you? 🤔 Maybe you think you “should” be able to figure things out on your own. M...
04/15/2026

Have you ever wondered if is right for you? 🤔

Maybe you think you “should” be able to figure things out on your own.

Maybe you have a great family or a good support system, so you “shouldn’t need .”

Maybe you believe things “aren’t that bad” or that no one else will understand you & your quirks.

I can help. Visit my website to access my free “Is Therapy Right for You?” guide.
SaraKerai.com

I’m pleased to share I am now a registered   for the state of  !  This means I can offer   services to   clients and   c...
04/13/2026

I’m pleased to share I am now a registered for the state of ! This means I can offer services to clients and clients who are located in Louisiana. I also maintain licensure in Washington, D.C., Maryland, Virginia, and Michigan.

Contact me at SaraKerai.com to schedule an appointment or a phone consulation.

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Washington D.C., DC
20017

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