Sarafina Milgrom, LICSW

Therapist

About Sarafina Milgrom
Sarafina Milgrom is a licensed clinical social worker (LICSW) in Washington, D.C. and Virginia, who brings a compassionate and innovative approach to her therapeutic practice at the Trauma Resilience and Education Center (TREC DC). With a strong foundation in trauma-informed and solutions-focused therapy models, Sarafina is dedicated to helping clients build on their strengths, navigate challenges, and move toward their preferred futures.

Therapeutic Approach and Philosophy
Sarafina’s approach to therapy is deeply collaborative, intersectional, and grounded in humility and curiosity. She believes in the power of focusing on what is going well in her clients’ lives, helping them to expand on those successes and use them as a foundation for growth and healing. Her work is informed by both Solutions-Focused Therapy and Narrative Therapy, which emphasize the importance of client strengths, stories, and perspectives in the therapeutic process.

Pronouns: she/her/hers

Licensed in DC and VA

Out-of-network provider

Solutions-Focused Therapy: A goal-oriented approach that helps clients identify and build on their existing strengths and resources to achieve their desired outcomes.
Narrative Therapy: A therapeutic model that encourages clients to re-author their life stories, shifting from problem-saturated narratives to ones that emphasize resilience, empowerment, and possibility.

Sarafina’s work is characterized by a deep respect for the courage it takes to seek therapy. She considers it a great honor to be trusted by her clients and is committed to creating a safe, non-judgmental space where they can explore their challenges and triumphs.

Specializations and Areas of Expertise
In addition to her expertise in solutions-focused and narrative therapy, Sarafina is also trained in Psychedelic Therapy and Integration (PTI). She holds a certificate from Fluence, having completed 30 hours of specialized training in this emerging field. Sarafina’s work in psychedelic harm reduction and integration includes:

Psychedelic Harm Reduction and Integration: Supporting clients in making informed decisions about psychedelic use, processing challenging experiences, and integrating insights gained from non-ordinary states of consciousness into their everyday lives.
Sarafina’s therapeutic work is also informed by her extensive experience in community-based organizations, where she has served families and children affected by physical and/or sexual abuse, as well as intergenerational trauma. She has worked with clients in both individual and group settings, helping them navigate the complex dynamics of trauma and healing.

Work with College Students and Young Adults
In addition to her work at TREC DC, Sarafina also provides therapeutic services on a college campus, where she supports young adults and students facing a variety of challenges. Her work in this setting is enriched by her experience working for a professor at American University, where she contributed to research on race, hiring practices, marketing, and social justice. This background gives Sarafina a unique perspective on the intersection of personal and societal issues, which she brings into her therapeutic work with clients.

Educational Background and Professional Experience
Sarafina earned her Master’s in Social Work with a specialization in Behavioral Health from the University of Maryland School of Social Work. Her educational background, combined with her extensive clinical experience, equips her with the tools to provide effective, culturally sensitive care to a diverse range of clients. As a licensed clinical social worker in Washington, D.C., Sarafina is committed to ongoing professional development and advocacy, ensuring that her clients receive the most current and effective therapeutic interventions.

Why Choose Sarafina Milgrom?
Sarafina’s blend of solutions-focused and narrative therapy, combined with her expertise in psychedelic therapy integration and her commitment to culturally sensitive care, makes her an excellent choice for individuals seeking to overcome trauma and build a brighter future. Her compassionate and client-centered approach ensures that each person she works with feels heard, supported, and empowered throughout their therapeutic journey.

Connect with Sarafina
If you’re ready to start your healing journey with Sarafina Milgrom or want to learn more about her therapeutic approach, please contact us today to schedule a consultation. Sarafina is here to help you navigate your challenges, embrace your strengths, and achieve your goals.

Please note: TREC DC providers do not supply psychoactive or illicit substances. We do not conduct, condone, or promote psychedelic psychotherapy outside of approved clinical trials. We also do not provide referrals to “underground” (illegal) psychedelic services, such as unlicensed retreats, or unregulated healthcare settings.