About Sarah
Sarah Gremillion combines evidence-based therapeutic approaches with straightforward conversation to help people manage stress, anxiety, depression, and relationship strain. She is a Licensed Clinical Social Worker, and she brings 18 years of clinical experience to sessions. Sarah writes plainly and listens closely to each person's concerns.
Sarah focuses on both immediate coping strategies and longer-term ways to feel steadier. She commonly helps people working through trauma and abuse, post-traumatic stress, and mood disorders.
Background and approach
She also supports those dealing with attachment issues, dissociation, chronic pain or illness, and family of origin struggles. People who identify as neurodivergent may find her perspective familiar, as she is neurodivergent herself and often prefers clear structure and concrete steps in therapy.
She is comfortable with a variety of sexual and relationship styles, including polyamory and non-monogamous relationships, and she talks through relationship patterns in uncomplicated language. Sarah uses approaches that focus on how the brain and relationships shape feelings and behavior. In practical terms that means teaching grounding and coping tools, addressing painful memories, and working on communication and boundary skills.
Sessions aim to make small, usable changes that add up over time. She works with adults and adolescents from her base in Texas. Sessions are offered in English and are provided through video calls, phone, live chat, or text-based messaging.
Sarah frames therapy as a collaborative process where goals are set together and progress is reviewed often.
Approaches that translate well to online therapy
Sarah uses several evidence-based approaches that adapt well to remote work. One approach focuses on helping the brain process and reduce the hold of painful memories by using guided techniques to rework how those memories feel. This approach can be useful for post-traumatic stress and ongoing trauma reactions. Another approach emphasizes practical coping skills - breathing, grounding, and emotion regulation - to reduce overwhelm and manage anxiety and mood symptoms in day-to-day life. A third strand of her work centers on relationship and attachment patterns, helping people notice interaction habits and practice different ways of asking for needs and setting boundaries.Choosing the right approach is a collaborative process. She will talk with each person about goals, try methods that fit those goals, and adjust the plan based on what helps. Sessions include regular check-ins so the work stays practical and focused on useful changes.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face connection and skill practice, phone can be easier when bandwidth is limited, and messaging or live chat can fit shorter check-ins or times when typing feels easier. These options make it simpler to fit therapy into a busy schedule and maintain continuity over weeks and months.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- Attachment issues
- Autism and Asperger Syndrome
- Chronic pain, illness, and disability
- Coping with life changes
- Depression
- Dissociation
- Family of origin issues
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Sexual assault and abuse
- Experience
- 18 years
- Licensed
- Texas
- Languages
- English