About Sarah
Sarah Gremillion is a licensed clinical social worker with 18 years of experience. She focuses on anxiety, stress, depression, relationship struggles, trauma, and major life changes. She works with adults and adolescents and has a particular interest in neurodiversity.
Sarah blends short-term strategies and longer-term work so people see relief and build lasting skills. She offers ways to manage day-to-day symptoms and methods to rewrite unhelpful patterns. Sessions are practical and paced to each person’s needs.
Background and approach
Her clinical background includes therapies that target trauma and relationship patterns. She brings experience with approaches that help process difficult memories and reduce intense emotional reactions. This background informs how she supports people after sexual assault, abuse, or chronic relational trauma.
Sarah is comfortable with diverse sexual, gender, and relationship presentations, including non-monogamous arrangements. She also works with people facing attachment issues, family of origin concerns, mood disorders, dissociation, chronic health challenges, and autism or Asperger Syndrome. In sessions she aims for clarity and collaboration.
People leave with specific tools for coping, clearer relationship skills, and a plan for next steps. Her goal is to help clients rebuild day-to-day functioning while they work toward bigger life changes.
Approaches that guide online care
Sarah uses evidence-based therapeutic techniques that focus on trauma processing and emotion regulation. One approach helps people process painful memories and reduce their emotional charge, giving practical steps to move forward after sexual assault, abuse, or other traumatic events. Another approach teaches skills to manage strong emotions, improve interpersonal effectiveness, and reduce self-destructive patterns, which is helpful for intense anxiety and mood symptoms.Finding the right approach is a collaborative process. The therapist will talk with each person about symptoms, life circumstances, and goals, and together they decide which techniques to try first. Adjustments are made over time based on what helps most, so treatment fits the individual rather than the other way around.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging. Video lets people see and respond to facial cues during conversations. Phone sessions can work well when bandwidth is limited or when someone prefers not to be on camera. Live chat or text-based messaging can provide shorter check-ins or ongoing support between sessions. These options make it easier to fit therapy into a busy life and to keep consistent contact with a therapist.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- 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
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