- Years in practice
- 18
- Credentials
- LMHC
- Licensed in
- Washington
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Grief
- Focus
- Self esteem
About Sarah
Sarah Tremblay is a licensed mental health counselor in Washington. She has 18 years of experience helping people manage stress, anxiety, grief, depression, and life transitions. Sarah draws on practical approaches to help clients gain confidence and find clearer ways forward.
She uses Client-Centered Therapy to create a listening space where a person’s concerns guide the work. Cognitive Behavioral Therapy, or CBT, helps people notice unhelpful thinking and try small, testable changes.
Background and approach
Motivational Interviewing supports movement when someone feels stuck or unsure about change. Sarah often helps people facing relationship strain, parenting challenges, career shifts, compassion fatigue, and the emotional toll of chronic illness or caregiving. She also works with concerns like abandonment, attachment struggles, body image, and emptiness.
Her approach is direct and practical - she focuses on daily steps that build coping and resilience. Sessions typically involve clear goals, short-term skills practice, and space to talk through painful feelings. Sarah blends coaching-style questions with therapy tools to support progress between sessions.
She aims to help people recognize strengths and try new behavior in manageable ways. Sarah offers sessions by video, phone, live chat, or text messaging for convenience. She practices in Washington and conducts sessions in English.
The overall goal is to help people find steady ways to handle problems and move toward what matters to them.
What Sarah works with
Everything Sarah lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Sarah helps people with.
- Stress, Anxiety
- Grief
- Self esteem
- Coping with life changes
- Compassion fatigue
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Depression
- Coaching
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Divorce and separation
- Emptiness
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Veteran and Armed Forces Issues
- Mood disorders
- Seasonal Affective Disorder (SAD)
- Self-love
- Women's issues
- Workplace issues
Approaches Sarah lists
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How her approaches work in online therapy
Client-Centered Therapy focuses on listening and responding to what matters most to the client. The therapist follows the person’s lead, reflects concerns, and helps people clarify what they want to change or keep. This approach is useful for stress, grief, relationship strain, and parenting questions.Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect. It breaks problems into small parts and tests simple behavior changes. CBT is often used for anxiety, low mood, self-esteem, and practical coping skills.
Motivational Interviewing uses open questions and gentle feedback to boost readiness for change. It can help when someone feels stuck about goals like improving self-care, parenting routines, or managing caregiver strain.
Finding the right approach happens together. The therapist will talk about options and try methods that fit a person’s needs, goals, and preferences. Sessions are a collaboration and can shift over time as progress is made.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text messaging. Video is useful for a fuller conversation and visual cues. Phone sessions work well when bandwidth is limited or a shorter check-in is needed. Live chat and text can provide brief check-ins, written reflections, and easier pacing between longer sessions. These choices make it simpler to fit therapy into busy schedules and to continue work between meetings.
Questions people ask about Sarah
What concerns does she help with?
She helps with stress, anxiety, grief, depression, parenting concerns, relationship and intimacy issues, anger, and coping with life changes among other topics.
What is her therapeutic style like?
Her style combines Client-Centered Therapy, Cognitive Behavioral Therapy, and Motivational Interviewing to create a practical, person-focused approach that emphasizes listening, small experiments, and motivation.
How much experience does she have?
She has 18 years of professional experience working in mental health and related roles.
What credentials and location are listed?
She is a licensed mental health counselor (LMHC) practicing in Washington State.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Sessions are offered as video calls, phone sessions, live chat, or text-based messaging.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.
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