Sarah Tremblay

Practical approaches for online therapy and change

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors; it is often used for anxiety, depression, stress, and difficulties with motivation and self-esteem by teaching practical coping strategies. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist listens deeply and supports the client’s own goals and choices, which can be especially helpful for building self-confidence and processing grief. Motivational Interviewing is a collaborative style that helps people resolve ambivalence and find their own reasons for change, useful for career transitions, coping with chronic conditions, or increasing engagement in treatment.

Finding the right approach is part of the therapeutic work. Sarah will collaborate with each client to determine which methods best match their needs, goals, and preferences, and may blend elements from these approaches to create a tailored plan. The process emphasizes shared decision-making and gradual steps toward meaningful change.

Online sessions include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These formats make it easier to fit therapy into busy lives, maintain continuity during transitions, and access support from Washington-based licensed professionals without needing to travel.