Meet Sarah Simpson, LCSW: Couples & Relationship Therapist

I help midlife couples find their way back to each other when everything, including their bodies, has changed.

My approach

I'm Sarah Simpson, a Licensed Clinical Social Worker and Emotionally Focused couples therapist. I work with couples in the middle of life who feel blindsided. The marriage that once felt steady now feels tense, lonely, or quietly over.

What I see again and again is this: midlife doesn't create these struggles out of nowhere. Hormonal shifts, sleepless nights, and the weight of caring for everyone can exhaust the nervous system. And an exhausted nervous system lets old attachment wounds rise to the surface: early experiences where love felt unpredictable, conditional, or unsafe.

That's why I don't only talk with couples. I help you notice what's happening in your body as it happens, understand the old fears underneath, and reach for each other from safety instead of survival.

A woman with curly blonde hair wearing a black top with lace and button details, smiling at the camera against a dark background.

What makes this work different

Most couples therapists work with words. Most medical providers work with the body. Most trauma therapists work with one person. I bring the body, the old wound, and the relationship into the same room, because in midlife, they are one story.

  • The body: Somatic Experiencing training to help your nervous systems settle together.

  • The wound: Attachment-informed care for the fears that midlife exhaustion has exposed.

  • The bond: Emotionally Focused Therapy (EFT), with Gottman Method tools for calming high conflict.

  • The intimacy: Sex therapy to help you adapt to a changing body and rebuild closeness that feels good.

Training and credentials

  • Licensed Clinical Social Worker (LCSW), Arizona #LCSW22250 and Missouri #

  • Certified Sex Therapist (CST)

  • Emotionally Focused Therapy (EFT), Externship completed

  • Trained in Somatic Experiencing, Intermediate level

  • Integrates Gottman Method interventions

  • Master of Social Work, Arizona State University

  • PhD in Clinical Sexology candidate

What I believe

Your reactions make sense. Your body is doing its best under real strain. And midlife, as hard as it is, can be the season you finally heal what you've carried for decades, together.