Professional Consultation & Training in San Francisco and Online
Consultation tailored to meet individual needs and interests
Sarah Carr, LMFT provides consultation to clinicians who would like to further develop their clinical expertise and/or business skills. Sarah’s areas of clinical specialization include OCD, Anxiety, Phobias, Body-Focused Repetitive Behaviors (BFRBs), Panic, Complex Trauma, LGBTQ+ Issues, Non-Monogamous Relationships. Treatment methods include Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Acceptance and Commitment Therapy (ACT), Ketamine-Assisted Psychotherapy, Mindfulness, and Self-Compassion. In addition to clinical consultation, Sarah also supports clinicians who are interested in learning strategies for running a successful business.
Areas of Clinical Expertise
Phobias
ocd
generalized/social anxiety
Panic Disorder
BODY-FOCUSED REPETITIVE BEHAVIORS (BFRBS)
EXPOSURE AND RESPONSE PREVENTION (ERP)
MINDFULNESS
SELF-COMPASSION
INTEGRATING ACT INTO treatment
Ketamine-Assisted Psychotherapy
LGBTQ+ Issues
Non-Monogamous Relationships
Embodying Your Humanity
An Acceptance and Commitment Therapy (ACT) &
Compassion Focused Daylong Retreat
Friday September 25, 2026 at Green Gulch Farm
Join us at the serene Green Gulch Farm in Marin County for an immersive, experiential retreat based in Acceptance and Commitment Therapy (ACT) and Compassion Focused approaches. Led by two expert practitioners and trainers, this day offers a unique space to be with your local community in person, cultivate your own psychological flexibility, and deepen your heart-centered presence, regardless of your experience level.
Please note: Due to venue capacity, registration is limited and spaces fill quickly. Reserve your spot early to secure your place!
what to expect:
The retreat will center on a curated sequence of experiential ACT, compassion focused, and nature-based mindfulness practices, interspersed with personal reflection, dyad work, and group dialogue. In the spirit of Self-Practice/Self-Reflection (SP/SR), you will be encouraged to apply these principles to yourself rather than clients, which will increase your competence as a practitioner in the process.
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5 CEs for RNs, LEPs, MFTs, Psychologists, LCSWs, and LPCCs (pending approval). Extra fee will apply.
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Acceptance and Commitment Therapy (ACT) is a transdiagnostic, process based model of behavior change that has been shown to be effective for a wide variety of issues related to mental health, health, performance, and more (Gloster et al., 2020). It is a “unified model of both human suffering and human resilience” (Hayes, Strosahl, Wilson, 2011) meaning that it promotes thriving and wellbeing as much as it combats poor mental health. The therapeutic stance in ACT assumes that our clients struggle with the same kinds of challenges that we as practitioners struggle with (i.e. “we’re all in the same boat”) and attention to our own psychological flexibility is essential to mastering the model.
Compassion-Focused describes a set of transformative, evidence-based practices derived from Compassion Focused Therapy (CFT) and Mindful Self-Compassion (MSC). These approaches have been shown to reduce shame by shifting the inner critic toward a kinder, more understanding voice, regulating the nervous system, and gradually supporting the cultivation of a felt sense of warmth and care toward oneself and others (Gilbert, 2009; Neff & Germer, 2013; Vidal et al., 2023).
Self-Practice/Self-Reflection (SP/SR) is a prominent, evidence-based framework designed to elevate therapist competency by applying clinical skills to one’s own life. Utilized across various therapeutic modalities, SP/SR successfully bridges personal development and professional excellence. Literature highlights that engaging in SP/SR enhances a practitioner's emotional attunement, self-awareness, psychological flexibility, and capacity for deep client perspective-taking, while strengthening their authentic belief in the therapeutic process itself (Thwaites et al., 2014).
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Throughout the day, you will be invited to engage in a blend of experiential ACT and Compassion Focused practices. The schedule balances structured learning with generous space for peer connection and guided, nature-based mindfulness in the surrounding landscape. While this is not a silent retreat, there will be some guided periods of silence. The day is intentionally structured to respect your personal boundaries, emotional and physical needs, and unique goals.
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This retreat is crafted for helping and mental health professionals, including counselors, MFTs, social workers, coaches, nurses, physicians, and psychologists. You will find this day deeply beneficial if:
You already possess a strong foundation in ACT and/or Compassion Focused modalities but crave dedicated time and space to apply these concepts inward and nurture your own growth.
You are completely new to ACT and/or Compassion Focused work and want to experience how they feel from the inside out before diving into formal training, or you simply need a restorative day focused on your own wellbeing.
You are eager to learn impactful new skills while connecting with and expanding your professional community in a breathtaking natural setting.
You find yourself anywhere along this continuum.
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After attending this retreat, you will be able to:
Describe from an experiential perspective how psychological flexibility and Compassion Focused practices intersect with your internal experience
Identify personal patterns of psychological rigidity, self-criticism, or emotional avoidance using a non-judgmental lens.
Assess your authentic integration and embodiment of acceptance, mindfulness, and self-compassion skills.
Identify at least one expression of values based behavior based in the application ACT and/or compassion skills
Identify and describe at least 3 ACT and/or Compassion Focused experiential exercises that you can use with clients.
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We will be providing coffee/tea, snacks and lunch. Please bring your own bagged lunch as there are no restaurants nearby.
Please bring a journal & pen, refillable water bottle, comfortable shoes (there are several trails in the area) and layers (it's cool in the morning and warmer in the afternoon).
This is not a silent retreat and we won't ask you to turn in your phone but ask that you keep it off or silenced, and refrain from letting it be a distraction throughout the day. Other guests at Green Gulch will be participating in silent retreats so please be mindful of that as you navigate the space.
when
September 25, 2026 | 9am - 4:30pm
where
Green Gulch Farm Muir Beach, CA
fees
Registration Fee: $175 – $250. We use a sliding scale fee based on the Green Bottle Model. Please choose the amount that honestly reflects your current financial situation:
$175 — I am experiencing financial hardship or have limited financial resources
$200 — I have enough to meet my basic needs and some discretionary income
$250 — I am financially stable and able to pay the full rate
We trust you to choose the tier that is right for you. No explanation or documentation is required.
Meet the Facilitators
Shane O’Neil-Hart, LCSW is a clinician, certified executive coach, and recognized expert in Acceptance and Commitment Therapy (ACT). As a Clinical Director at Lyra Health, he has developed multiple global coaching programs, bringing evidence-based care to hundreds of thousands of clients around the world. Currently, Shane is focused on building Lyra’s workplace and neurodiversity focused coaching programs. He is also an Assistant Professor in the Department of Psychiatry at University of California, San Francisco, where he supervises and trains psychiatry residents in ACT. He is passionate about the dissemination of evidence based and culturally responsive mental health treatments, and is also trained in Dialectical Behavior Therapy (DBT) and Compassion Focused Therapy (CFT). Shane provides training and consultation in ACT, and is a longtime supervisee of Robyn Walser.
Sarah Carr, LMFT is the Founder and Clinical Director of mindfulSF, a wellness center in San Francisco that provides evidence-based treatments for anxiety-related issues and mindfulness and compassion focused training. Sarah has facilitated mindfulness, compassion, and resilience workshops for a wide range of nonprofit and corporate organizations. In her clinical work she specializes in Acceptance and Commitment Therapy (ACT), Exposure and Response Prevention (ERP), Compassion Focused Therapy (CFT), and Ketamine Assisted Psychotherapy (KAP). She is a Certified Mindfulness-Based Stress Reduction Teacher through Brown University, and has also trained as Mindful Self-Compassion Teacher. Sarah has over a decade of personal experience with mindfulness and contemplative practices and has attended over a dozen multi-day residential mindfulness retreats. She is passionate about supporting other healers with connecting to embodied practices that can support wellbeing, connection, and client care.
We are excited to spend the day with you in the practice of what we love! If you have any questions at all, please feel free to reach out to us.
-Sarah and Shane
Integrative Evidence-Based Approaches for Treating OCD and Anxiety Live
12 CE 2-Day Professional Training
what to expect:
This 2-day didactic and experiential workshop will provide clinicians with a roadmap for integrating evidence-based treatments including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Mindfulness, Acceptance and Commitment Therapy (ACT), and Compassion Focused Therapy (CFT) in the treatment of OCD and Anxiety. This training is interactive and will include small and large group exercises, guided mindfulness and self-compassion practices, role play demonstrations, and footage from a live ERP session.
12 Professional CEs ($60) available for psychologists, LMFTs, LCSWs, LPCCs.
Course can be taken in full or as single day sessions.
Course must be taken as a whole to receive CEs.
Course includes 2 full days of training and one follow-up consultation group session.
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Compile a roadmap for assessing, diagnosing, and treating OCD and anxiety-related disorders using Exposure and Response Prevention (ERP), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT).
Describe how to fluidly integrate an ACT-based framework into ERP.
Describe effective strategies and techniques for identifying and treating nuanced forms of OCD alongside comorbid conditions that commonly occur in the presence of OCD (e.g., ADHD, tics, BFRBs, PTSD).
Demonstrate understanding of the common pitfalls of OCD treatment including reluctance to treatment, the role of family accommodation in treatment, and strategies for including families in treatment.
Describe evidence-based treatment strategies for OCD and anxiety.
Demonstrate how to effectively utilize the ACT Matrix with clients.
Demonstrate how to conceptualize OCD and anxiety cases through an ACT framework.
Apply mindfulness and self-compassion frameworks into the OCD and anxiety treatment.
Explain how mindfulness self-compassion can enhance Exposure and Response Prevention.
Describe how to effectively respond to feelings of shame that can get in the way of engaging in life and exposure practice.
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Assessment and Diagnosis
Psychoeducation
Exposure and Response Prevention (ERP)
ACT-Informed ERP
Live session video footage
Nuances of working with various forms of OCD and comorbidities
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ACT Matrix + Hexaflex
Defusion Techniques
Integration of values into treatment
Mindfulness and Self-Compassion Skills
Treatment resistance and collateral support
Live role play demos
WHEN Contact us for upcoming dates
WHERE Zoom
COST Licensed Professional Bundle: $375 for entire 2-day training that includes a follow-up group consultation session. Additional fee of $60 for CEs is required. Single Day Licensed Professional without consultation: $200
Unlicensed Professional Bundle: $300 for entire 2-day training that includes a follow-up group consultation session. Single Day Unlicensed Professional without consultation: $150
INSTRUCTOR Sarah Carr, LMFT
Information on Continuing Education Credit for Healthcare Professionals
This course is eligible for 12 units of continuing education (CE) credit.
CE credits for psychologists are provided by the Spiritual Competency Academy (SCA) which is co-sponsoring this program. The Spiritual Competency Academy is approved by the American Psychological Association to sponsor continuing education for psychologists. Spiritual Competency Academy maintains responsibility for this program and its content.
The California Board of Behavioral Sciences accepts CE credits for LCSW, LPCC, LEP, and LMFT license renewal for programs offered by approved sponsors of CE by the American Psychological Association.
LCSW, LPCC, LEP, and LMFTs, and other mental health professionals from states other than California need to check with their state licensing board as to whether or not they accept programs offered by approved sponsors of CE by the American Psychological Association.
SCA is approved by the California Board of Registered Nursing (BRN Provider CEP16887) for licensed nurses in California. RNs must retain their certificate of attendance for 4 years after the course concludes.
For questions about receiving your Certificate of Attendance, contact Beverly Wong at info@mindfulSF.com. For questions about CE, contact Spiritual Competency Academy at info@spiritualcompetencyacademy.com.
Build Your Business
As a fellow therapist, I know what it feels like to feel confused and uncertain regarding the business elements of private practice. If you are like me, your formal training was in helping people, not in running a business. At the outset, starting a private practice can feel overwhelming and scary. However, with the right tools and support, it is more than possible to become the successful business owner you want to be.
Business areas of support:
Building and sustaining a caseload of clients.
Narrowing down areas of expertise.
Navigating the world of marketing, SEO, and website maintenance.
Building and sustaining professional relationships.
Setting fees.
Strengthening referral networks.
Creating practice policies and business-related paperwork.
Infusing values into the process of owning a business.
Hiring employees.
Enhance Your Clinical Expertise
Since becoming licensed and no longer receiving supervision, clinical consultation has been one of the most beneficial ways to expand my clinical expertise. I value receiving consultation as much as I do offering it. I have an ongoing commitment to my own learning. I attend both individual consultation and group consultation on an ongoing basis.
My consultation style is processed-based, structured, and experiential. I have a deep respect for the individual values, unique styles and clinical perspectives of the clinicians who work with me. To find out more about my training history and expertise, access my full bio here.
Clinical areas I support:
OCD
Phobias
Generalized/Social Anxiety
Panic Disorder
Body-Focused Repetitive Behaviors (BFRBs)
Exposure and Response Prevention (ERP)
Mindfulness
Self-Compassion
Integrating ACT into treatment
Interested in Professional Consultation?
mindfulSF offers professional consultation in San Francisco and throughout the Bay Area. Online services also offered across California.