Sarah Tremblay, LMHC

Sarah Tremblay is a licensed mental health counselor in Washington with 18 years of experience. She brings a practical, straightforward style to sessions and focuses on helping people manage stress, anxiety, grief, and self-esteem concerns. Sarah also supports coping with life changes, compassion fatigue, relationship and intimacy-related issues, parenting challenges, and career concerns.

She uses a client-centered approach that keeps the person’s goals front and center. Cognitive Behavioral Therapy (CBT) is part of her practice when addressing unhelpful thoughts and behaviors. Motivational Interviewing is used to help clients move through ambivalence and find motivation for change.

Sarah has experience working with people affected by bipolar disorder and depression, and she offers coaching alongside therapy when helpful. Her background includes work related to aging and geriatric issues, autism and Asperger Syndrome, caregiver stress, chronic illness and disability, and blended family concerns. She also addresses abandonment, codependency, commitment and communication problems, and the emotional fallout of divorce and separation.

Sarah values giving people a voice and promoting fair access to care. She draws on prior roles and personal experience to understand practical challenges and to suggest doable steps forward. The emphasis in sessions is on listening, practical strategies, and building skills that fit into everyday life.

To begin, prospective clients complete a short matching questionnaire and schedule a session based on the therapist’s availability. Sessions use a subscription model that can be canceled at any time.

How these approaches guide online care

Client-Centered Therapy focuses on the person’s priorities and experience. The therapist listens closely and helps clients set goals that matter to them, such as managing jealousy, rebuilding trust, or improving self-esteem. Cognitive Behavioral Therapy (CBT) helps people notice patterns of thought and behavior that make problems worse, then practice different ways of thinking and acting to see real change. Motivational Interviewing is a conversational style that helps people find their own reasons to change and build momentum one step at a time.

Finding the right approach is part of the work. The therapist will talk with each client about needs, goals, and preferences and then suggest which methods to try. This is a collaborative process and adjustments are made as progress is tracked and circumstances shift.

The practical benefits of online therapy include fitting sessions into a busy life and reducing travel time. Online work can make it easier to attend regular sessions around work or caregiving responsibilities and to use tools between meetings. Confirm the specific session formats available before booking, since the original biography does not list formats. The focus is on flexible, goal-oriented care that fits into everyday schedules rather than on a particular delivery method.