Sarah Gremillion, LCSW, is a licensed clinical social worker in Texas with 18 years of experience providing therapy to adults, adolescents, and couples. She approaches counseling with the belief that the patterns people repeat have roots in the brain and that therapy can help reshape the way experiences are understood, integrated, and carried forward. Her work often supports clients navigating stress, anxiety, depression, relationship difficulties, and major life transitions, with attention to both practical relief in the short term and deeper, long-range change that aligns with a client’s goals.
As a generalist mental health provider with extensive experience, Sarah brings openness and respect to a wide range of sexual, gender, and relationship presentations. She is neurodivergent and especially enjoys working with other neurodivergent people, offering a space that values different ways of thinking, feeling, and relating.
Sarah’s clinical focus includes trauma, including PTSD and long-term, chronic relational trauma. Her approach is grounded in evidence-based therapeutic techniques and informed by formal training in EMDR, dialectical behavior therapy, cognitive behavioral therapy, interpersonal process therapy, interpersonal neurobiology, and the Gottman Method for couples therapy. Throughout the therapy process, she aims to help clients build skills that support day-to-day stability while also creating meaningful shifts in how they understand themselves, their relationships, and their next steps.
Sarah Gremillion, LCSW, draws from evidence-based therapeutic techniques to support people working through anxiety, depression, relationship stress, and the effects of trauma. EMDR is one approach she is trained in that helps clients process distressing experiences in a structured way, which can be especially useful when past events continue to intrude on the present.
She also uses cognitive behavioral therapy (CBT), a practical, skills-focused approach that looks at how thoughts, feelings, and behaviors interact. CBT can be helpful for noticing unhelpful patterns, building coping strategies, and creating steadier routines during stressful seasons. For emotion regulation and relationship challenges, dialectical behavior therapy (DBT) skills can support grounding, distress tolerance, and more effective communication.
Finding the right way to work is part of therapy itself. Sarah collaborates with clients to choose methods that fit their goals, preferences, and pace, whether the focus is short-term relief, longer-term growth, or both.
Online therapy can make that process easier to sustain. Sessions can happen through video calls or phone sessions, with the added flexibility of live chat or text-based messaging. This range of options can help clients stay connected to therapy between sessions and fit support into real life schedules.
How much experience does Sarah Gremillion have?
Sarah Gremillion has 18 years of clinical experience providing therapy.
Is Sarah Gremillion a licensed therapist?
Yes. Sarah Gremillion is a Licensed Clinical Social Worker (LCSW). Her license is TX LCSW 51374.
In which languages does Sarah Gremillion provide therapy?
She provides therapy in English.
Where is Sarah Gremillion located?
Sarah Gremillion is located in Texas.
How can I work with Sarah Gremillion as my therapist?
You can work with Sarah Gremillion through video calls, phone sessions, live chat, or text-based messaging, depending on what fits your needs and scheduling.
Does Sarah Gremillion work with international clients?
No. Sarah Gremillion does not currently work with international clients.
How much does therapy with Sarah Gremillion cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.