Sarah Gremillion is an LCSW with 18 years of clinical experience working with adults and adolescents. She blends attention to immediate coping needs with longer term strategies so that a person’s present life begins to align with their goals. Her practice focuses on stress, anxiety, relationship concerns, depression, trauma and abuse, and adapting to life changes.
She brings formal training in EMDR, dialectical behavior therapy, cognitive behavioral therapy, interpersonal process approaches, interpersonal neurobiology, and the Gottman method for couples work. Her clinical interests extend to attachment issues, dissociation, post-traumatic stress, sexual assault and abuse, and family of origin dynamics. She also addresses challenges connected to chronic pain, illness, disability, mood disorders, and polyamorous or non-monogamous relationships.
Sarah identifies as neurodivergent and welcomes working with other neurodivergent people. She frames therapy as an opportunity to re-pattern how difficult experiences are held in the brain and to develop practical tools and relational skills that support ongoing growth and recovery.
Sarah offers remote sessions that draw on trauma-informed methods and skills-based therapies. She uses EMDR to help address memories and reactions related to traumatic events, working carefully with pacing and client readiness. Dialectical behavior therapy skills are used to teach emotion regulation, distress tolerance, and interpersonal effectiveness in practical, step-by-step ways.
Cognitive behavioral techniques are integrated to identify and shift patterns of thought and behavior that contribute to anxiety, depression, and relationship stress. Sessions emphasize collaboration: Sarah and the client set goals together, evaluate what is helpful, and adjust the plan over time. That collaborative process can include short-term strategies and longer-term work depending on the presenting concerns.
Remote sessions are available by video calls, phone sessions, live chat, or text-based messaging. These options allow clients to choose the medium that fits their communication preferences and daily life while working through attachment, trauma, relationship, or neurodivergence-related concerns.
What is Sarah's clinical background?
She has 18 years of clinical experience providing individual and couples therapy to adults and adolescents, with a focus on trauma, relationship difficulties, anxiety, depression, and life changes.
What are her credentials and license information?
Sarah is an LCSW and holds a Texas license listed as TX LCSW 51374.
Which languages does she speak?
This profile indicates she practices in English.
Where is she located?
She provides services from Texas.
How can clients meet with her?
Clients can connect through video calls, phone sessions, live chat, or text-based messaging.
Does she accept international clients?
The profile notes she does not accept international clients.
What does it cost to work with her?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started if I want to work together?
To begin, use the Start Therapy button and complete a short matching questionnaire.