Grounded support for lasting change through thoughtful, personalized therapy.

START YOUR JOURNEY HERE.

NO COAST COUNSELING COLORADO

I’ve been a therapist for over two decades, and my passion for this work continues to grow. To me, therapy is a collaborative partnership. While I can’t do the work for you, I’ll walk beside you, offering insight, challenge, and support as you move toward healing, growth, and deeper connection. My ultimate goal is to help you re-engage—with yourself, with others, and with the life you want to lead.
Couple showing love and affection walking through a field hand-in-hand

PROVIDING YOU WITH A SAFE SPACE

I'm here to walk alongside you — with real support, no judgment, and the tools to help you move forward. Whether you prefer meeting virtually from the comfort of your home or the connection of face-to-face office sessions, I offer flexible support that meets you where you are. 

OUR SERVICES

ADDICTION

Addiction can feel heavy and lonely — but you don’t have to carry it alone anymore. Healing begins with being seen, heard, and met with compassion.
People coming together to show support for those going through addiction

FAMILIES

Family dynamics can be complex — we help you navigate the hard moments together, with care, clarity, and connection.
Family laughing together supporting each other

TWEEN & TEEN

Growing up comes with big feelings — we help kids and teens feel safe, understood, and supported through whatever they are facing.
Teen girls coming together supporting each other

LIFE TRANSITIONS

Grief, divorce, career changes, or starting over — we offer support and clarity through the transitions that reshape your life. 
Flower growing through two hands symbolizing growth through life transitions life divorce, grief, and loss

COUPLES

Every relationship has rough seasons — we help couples reconnect, rebuild trust, and feel close again regardless of race or sexual orientation.
Heterosexual couple hugging each other laughing, supporting each other

TRAUMA

Whether it’s Big T or little t trauma, what you’ve been through matters — and you don’t have to face it alone. We’ll move at your pace, together.
Sad expression on mans face symbolizing the need for help for dealing with trauma through therapy

MEET SARAH

Sarah Malsom Denver Colorado Therapist specializing in individuals, couples, families, tweens and teen therapy for life transitions, addiction, couples counseling, adolescent therapy
Welcome — I’m Sarah, a therapist with over twenty years of experience helping individuals and couples navigate life’s challenges, from relationships and trauma to addiction and big transitions. My approach is direct but deeply compassionate, rooted in the belief that therapy should be honest, collaborative, and empowering. I draw from EMDR, attachment theory, and practical tools, and I’m influenced by the work of Terry Real, Esther Perel, the Gottmans, Brené Brown, Gabor Maté, and Stan Tatkin. My time as a probation officer shaped my no-nonsense style, while raising a blended family and doing my own therapeutic work taught me empathy and flexibility. Whether you're feeling stuck or facing something big, I’m here to walk alongside you with honesty, warmth, and respect. 

GET STARTED TODAY.