Sarah Gremillion, LCSW

Licensed in Texas · 18 years in practice

Sarah Gremillion uses practical, evidence-based approaches to help people make change.

License and registration

LCSW, Texas: 51374 · expires January 2027
NPI: 1861785461 · national provider identifier
Years in practice: 18
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Sarah

Sarah Gremillion uses practical, evidence-based approaches to help people make change. She brings 18 years of clinical experience as a licensed clinical social worker. Sarah writes clear, day-to-day steps clients can try between sessions.

She works with stress, anxiety, depression, and major life changes. Relationship concerns, trauma and abuse, and coping after sexual assault are also frequent focuses. Sarah also supports people dealing with attachment issues, dissociation, chronic illness or pain, and mood disorders.

Background and approach

Sarah blends short-term solutions with longer-term work. That means she will help stabilize immediate problems and build skills that last. She pays attention to how early family experiences shape current patterns and looks for ways to change those patterns over time.

Sarah is comfortable with diverse sexual, gender, and relationship presentations, including people exploring polyamory and non-monogamous relationships. She is neurodivergent and enjoys working with other neurodivergent people, including those on the autism spectrum. Her trauma focus spans post-traumatic stress and chronic relational trauma.

Sessions are practical and collaborative: clients and Sarah set goals together, try specific techniques, and review what helps. She practices in Texas as an LCSW and offers a mix of session formats to fit different needs.

Focus areas and approaches

Everything Sarah lists on their public professional profile, in their own terms.

Stress, Anxiety
Relationship issues
Trauma and abuse
Depression
Coping with life changes
Attachment issues
Autism and Asperger Syndrome
Chronic pain, illness, and disability
Dissociation
Family of origin issues
Mood disorders
Polyamory / non-monogamous relationships
Post-traumatic stress
Sexual assault and abuse

Online support

Evidence-based approaches for online care

Sarah uses well-studied, practical techniques that translate to remote work. One approach focuses on skills for managing emotions and distress - teaching breathing, grounding, and behavior changes that help with anxiety, mood shifts, and trauma reactions. Another approach looks at relationships and attachment - it helps people see patterns in close relationships and try new ways of communicating and connecting.

Finding the right approach is a team effort. Sarah will talk with each person about their goals, symptoms, and what has helped before. Together they choose or adapt techniques so the plan fits the person's needs and day-to-day life.

Online sessions come in several formats to suit different situations. Video calls let the therapist and client work through material face to face. Phone sessions can be easier when bandwidth is limited or a session needs to fit into a short break. Live chat and text-based messaging allow ongoing check-ins, brief coaching, and skill practice between synchronous visits. These options make therapy more flexible and easier to fit into work, school, or family schedules.

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Questions people ask

What concerns does Sarah commonly address?

She focuses on stress, anxiety, relationship struggles, trauma and abuse, depression, and coping with life changes. Additional areas include attachment issues, dissociation, chronic pain or illness, mood disorders, and polyamory or non-monogamous relationship questions.

What is her therapeutic approach and style?

She uses evidence-based therapeutic techniques and blends short-term strategies with longer-term work. Sessions are practical and collaborative, with concrete skills and steps to try between meetings.

How much clinical experience does she have?

Sarah has 18 years of clinical experience working in mental health settings with adults and adolescents. Her recent focus is trauma, including post-traumatic stress and chronic relational trauma.

What credentials and location information apply?

She practices in Texas and holds an LCSW, which stands for Licensed Clinical Social Worker. The profile lists her location as Texas.

Which languages are supported and can international clients join?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available with Sarah?

She offers video calls, phone sessions, live chat, and text-based messaging. These options allow shorter check-ins, longer conversations on video, or ongoing messaging between appointments.

How is cost handled for sessions?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling based on the therapist's availability. The questionnaire helps match needs and preferences.

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