Sarah Gremillion, LCSW

Sarah Gremillion is a licensed clinical social worker (LCSW) in Texas with 18 years of clinical experience offering individual and couples therapy for adolescents and adults. She brings a generalist background to her practice, working with anxiety, depression, relationship challenges, major life transitions, and a range of mood and stress-related concerns. Her work includes focused support for trauma, including post-traumatic stress and long-term relational trauma, as well as issues related to attachment, family of origin, and dissociation.

Trained in several evidence-based methods, she integrates EMDR, dialectical behavioral therapy, cognitive behavioral therapy, interpersonal process approaches, interpersonal neurobiology, and Gottman method couples therapy to tailor treatment to each person or couple. Sarah balances short-term strategies meant to provide quick relief with longer-term planning to help a person align daily life with their goals and values. She is comfortable working with diverse sexual, gender, and relationship presentations and has a special interest in supporting neurodivergent individuals, noting that she is neurodivergent herself and values that shared perspective in clinical work.

Her practice also addresses chronic pain, long-term illness and disability, polyamory and non-monogamous relationship dynamics, sexual assault and abuse, and grief over life changes. Across these areas she emphasizes collaborative, evidence-informed care aimed at helping people move forward and reshape their personal narratives.

Evidence-Based Approaches Available Online

Sarah Gremillion uses several evidence-based techniques that translate well to remote work. Eye Movement Desensitization and Reprocessing (EMDR) is a structured approach that helps people process distressing memories and reduce the intensity of traumatic reactions through guided bilateral stimulation and therapy-focused processing. Dialectical Behavioral Therapy (DBT) teaches practical skills for emotional regulation, distress tolerance, and interpersonal effectiveness, which can help with intense emotions, relationship patterns, and coping during life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thoughts and behaviors to improve mood and daily functioning.

Finding the right therapeutic approach is part of the process, and Sarah works collaboratively with each person to determine what fits best based on their needs, goals, and preferences. She tailors techniques and the pace of treatment so clients can try different strategies and adjust as progress unfolds.

Online therapy with licensed professionals offers flexibility in how and when to meet - by video call, phone, live chat, or text-based messaging - which can make it easier to access consistent care around work, family, or mobility limitations. These options support ongoing therapeutic work during major life transitions or when in-person visits are not feasible.