About Sarah
Sarah Tremblay is a licensed mental health counselor in Washington with 18 years of professional experience. She draws on a long career helping people manage stress, anxiety, grief, and major life changes. Her work is grounded in straightforward communication and practical steps people can use right away.
She focuses on building a clear plan with each person. That often includes checking patterns of thinking and behavior, setting small goals, and using motivational conversations to keep progress moving.
Background and approach
Sessions address self-esteem, coping skills, compassion fatigue, and relationship or intimacy concerns among other issues. Her background includes work with caregiving and geriatric concerns, autism and Asperger Syndrome, chronic illness and disability, and support for people facing cancer or long-term health challenges. That experience informs a calm, patient approach when people are feeling overwhelmed or worn down.
Therapy sessions use a collaborative, client-centered style. She asks questions, listens closely, and helps people choose practical steps that fit their day-to-day life. Conversations are paced to each person’s needs, with options for shorter check-ins or more in-depth work.
Sarah also uses cognitive behavioral strategies to identify unhelpful thoughts and test new ways of responding. Motivational interviewing helps when people are stuck or unsure how to begin making changes. Together, these approaches aim to reduce anxiety, improve coping, and restore a sense of control.
How these approaches translate to online care
Client-Centered Therapy focuses on listening and responding to each person’s experience. The therapist follows the person’s lead, reflects what’s said, and helps clarify goals and priorities - this works well for anxiety, grief, and relationship concerns.Cognitive Behavioral Therapy (CBT) looks at thoughts, feelings, and behaviors to find patterns that keep problems going. Online sessions can include worksheets, thought records, and homework to try new skills between meetings, which is useful for stress and anxiety management.
Motivational Interviewing uses gentle, goal-focused conversation to resolve mixed feelings and build commitment to change. It’s helpful when someone feels stuck about starting or maintaining new habits.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods to try based on needs, goals, and preferences. That plan can shift as progress is made or new challenges appear.
Online formats make scheduling and participation more flexible. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a simpler option when bandwidth is limited or a session needs to be shorter. Live chat and text-based messaging support brief check-ins, ongoing coaching, or follow-up between longer sessions. Together, these options help people fit therapy into busy lives and keep momentum between meetings.
Questions people ask
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What this therapist works with
Most often
Also listed
- 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
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