- Family of origin
- Attachment concerns
- Trauma recovery
About Sarah
Sarah Gremillion is a licensed clinical social worker (LCSW) in Texas with 18 years of practice. She works with adults on stress, anxiety, depression, relationships, trauma and coping with life changes. She also notes experience with family of origin issues and related concerns.
She sees therapy as a chance to change long-held patterns that continue to affect daily life. Sessions focus on both short-term steps that bring relief and longer-term work to change how someone responds to old triggers. She typically uses evidence-based therapeutic techniques to address symptoms and interpersonal patterns.
Sarah has a background treating post-traumatic stress and chronic relational trauma. Her work includes attention to attachment concerns, dissociation, and the ways family roles and expectations can shape adult relationships. She also supports people navigating autism or Asperger syndrome and chronic illness or pain alongside mental health needs.
She has experience with relationship diversity and polyamorous or non-monogamous arrangements, and with sexual assault and abuse recovery. Her practice aims to help clients recognize repeating family patterns and figure out practical changes they can try between sessions.
Her approach blends short-term problem solving with longer-term skill building. That can include learning new ways to communicate, shifting patterns of closeness and distance, and strategies for managing anxiety or depressive episodes. People who value direct, practical work on family of origin patterns may find this approach helpful.
Approaches for trauma, attachment, and relationship patterns
Sarah draws on evidence-based therapeutic techniques that aim to change how the brain and body respond to stress. One approach she uses focuses on processing distressing memories and reducing their intensity, which can help people with post-traumatic stress and chronic relational trauma manage intrusive reactions and overwhelm. Another strand emphasizes skills for emotional regulation and interpersonal effectiveness, helping people reduce conflict, set boundaries, and cope with intense emotions. Finding the right mix of approaches is part of the work. She will collaborate with clients to decide which techniques fit their goals, needs, and preferences. That means reviewing what has or hasn’t helped before and adjusting methods as therapy progresses. Confirm the available session options before booking so you know how meetings are arranged. Many people find online sessions help fit therapy into a busy life - they can be easier to attend around work, reduce travel time, or make shorter check-ins possible. Talk with the therapist during the matching process about the practical setup that best fits your schedule and needs so sessions become a workable part of everyday life.Areas of expertise
Primary focus
Additional focus areas
Experience
18+ years
Listed in
Texas
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, depression, relationship struggles, trauma and coping with life changes. Additional focus areas include family of origin issues and attachment concerns.
What is her therapeutic style?
She uses evidence-based therapeutic techniques and balances short-term change with longer-term skill building. Sessions often include practical steps to try between meetings.
How much clinical experience does she have?
She has 18 years of clinical experience providing therapy to adults and adolescents. That experience includes work with PTSD and long-term relational trauma.
What are her credentials and where is she based?
She is a licensed clinical social worker (LCSW) practicing in Texas.
Which languages are supported?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions scheduled and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time. Confirm fees through the matching and scheduling process.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.