About Sarah
Sarah Tremblay is a licensed mental health counselor who draws on 18 years of experience to support people facing stress, anxiety, grief, low self-esteem, and major life changes. She uses straightforward, practical strategies so people can make small changes that add up. Sarah works with concerns that include relationships, intimacy-related problems, parenting strain, career stress, bipolar disorder, depression, and compassion fatigue.
Her background includes long-term clinical work and roles that gave hands-on experience with caregiver needs and aging-related issues.
Background and approach
That experience shaped how she talks with people about chronic illness, caregiving stress, dementia-related concerns, and medical fragility. She also has personal experience as a parent of a child with special needs, which informs her empathy and practical understanding. In sessions she relies on client-centered methods to follow each person’s values and priorities.
She combines that with cognitive behavioral techniques to identify unhelpful thinking and motivational interviewing to clarify goals and build momentum. The mix focuses on what people want to change and how to take manageable steps toward those goals. Sarah practices in Washington and holds the credential LMHC, which stands for Licensed Mental Health Counselor.
She offers talk-based work and skill-building that aims to make everyday life more manageable. Her style is direct, compassionate, and goal-oriented. People can expect a collaborative relationship that balances practical tools with listening.
Sarah aims to help people find realistic ways to cope, reconnect with what matters, and move forward one step at a time.
Approaches and online options for practical change
Client-centered therapy focuses on following the person’s lead and creating space to talk about what matters most. It helps when someone needs acceptance, clearer thinking about priorities, and a respectful place to sort through feelings.Cognitive Behavioral Therapy, or CBT, looks at patterns of thinking that get in the way and teaches tools to shift those patterns. It is useful for anxiety, depression, stress, and coping with life changes by turning big problems into specific, manageable steps.
Motivational interviewing is a short, goal-focused style that helps people strengthen their own reasons for change and build momentum. It can be especially helpful when motivation feels stuck or when making difficult decisions.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals, needs, and preferences, and will adjust the plan as progress is made.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video lets people use visual cues and more conversational pacing, phone works well when bandwidth is limited, chat is good for shorter check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into busy schedules and varied lifestyles.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Emptiness
- Family conflicts
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Parenting issues
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Washington
- Languages
- English