Sarah Tremblay, LMHC (Licensed Mental Health Counselor)

Sarah Tremblay, LMHC, MHP, CPG

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Certified Provider Certified
LMHC (Licensed Mental Health Counselor)
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I am an experienced mental health counselor who is dedicated to bringing equality and effective treatment options to all adults in need in our community regardless of functional or intellectual levels. I believe with "the right support, anything is possible" so let me be the support you need.

At Pillars of Change LLC, we strive to be the pillars of support needed by our clients and our community in order to elicit change for the betterment of us all. Through reflective listening, compassion, and empowerment, Pillars of Change LLC strives to provide a supportive environment that fosters personal healing, acceptance, growth, and inclusion for each client through a holistic individualized approach. It is our core belief that, "with the right support, anything is possible!"

As the owner, Sarah Tremblay has over 20 years of professional experience while holding dual Masters degrees and specialty certifications as follows:
Masters of Science in Clinical Counseling & Abnormal Psychology
Masters of Arts in Applied Behavioral Analysis
Certification in Applied Behavioral Analysis
Certification in Guardianship and Conservatorship
Certification in Critical Incident Response

Sarah personally and professionally understands the importance of compassion, acceptance, advocacy, and inclusion for all. Personally, Sarah is the single parent of 2 teenage children; one with special needs. Sarah was raised in a small town where taking care of others and one another was an instilled way of life. Sarah grew up volunteering at Rainier State School, a residential facility for the developmentally and intellectually disabled. Professionally, Sarah brings 20+ years of experience in counseling and behavioral health services including voluntary and involuntary treatment processes, medical and psychiatric case management, and crisis stabilization work for adult persons in a variety of marginalized populations. Sarah brings 15 years experience in care coordination and advocacy for adults who are: developmentally or intellectually disabled, geriatric, medically fragile, and/or whom were experiencing psychological or behavioral dysregulation. For the past five years, Sarah served as the Supervisor of the Complex Case Management Team managing complex patient needs at seven local hospitals before venturing into private practice and opening Pillars of Change LLC.

Additionally, Sarah is passionate about equality and proudly serves as a board member for Pierce County Coalition for Developmental Disabilities. Sarah believes in giving the "unheard" a "voice" as she has learned to see the potential and good in everyone as everyone has something to offer the world!

With the exception of critical incident stress management response and debriefing services, Pillars of Change LLC serves adult clientele ages 18 to geriatric. Pillars of Change LLC provides counseling and consultation services for a pelethera of treatment areas but Sarah has special interest and experience in the areas of:
Geriatrics (age 65+)
Death and Dying/Hospice/Terminal Illness Processes
Alzheimer's and Dementia
Autism, Asperger's, and Developmental Disabilities
Situational Anxiety
Situational Adjustment Disorders
Grief, Loss, and Bereavement
Anticipatory Grief or Loss Secondary to Medical Condition (AIDS/HIV, Stroke, Multiple Sclerosis, Parkinson's, Dementia, Cancer, Cerebral Palsy, Epilepsy, Diabetes, etc.)
Medical Staff and/or Caregiver Support
Medical Staff and/or Caregiver Burnout Prevention
Crisis Intervention and/or Critical Incident Response
Stress Management
Divorce and Betrayal Recovery
Single Parenting
Caregiver Support, Caregiver Fatigue, and Caregiver Burnout

Specialties & Clinical Interests

  • Adoption & Fostering
  • Alzheimer's & Dementia
  • Anxiety
  • Autism Spectrum Disorder
  • Bipolar & Other Mood Disorders
  • Body Image
  • Bullying
  • Career
  • Chronic Illness
  • Depression
  • Developmental & Intellectual Disorders
  • Divorce & Separation
  • Family Conflict
  • Grief & Loss
  • Law Enforcement/First Responders
  • Life Coaching
  • Men's Issues
  • Mental Health Professionals
  • Obsessive-Compulsive Disorder (OCD)
  • Other
  • Parenting & Parent-Child Relationships
  • Pet Loss
  • Relationships
  • Self-Esteem
  • Spirituality
  • Stress/Stress Management
  • Suicide Loss
  • Women's Issues

Therapy Types

  • Applied Behavior Analysis (ABA)
  • Client-Centered Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Holistic
  • Internal Family Systems (IFS)
  • Mindfulness
  • Solution-Focused Brief Therapy (SFBT)

Community Specialties

  • Autism
  • Cancer Survivors
  • Caregivers; First Responders/Medical Staff
  • Hiv / Aids
  • People With Disabilities
  • Single Parents

Faith Based Specialties

  • Christianity

Fees & Insurance

Cost per Session
$90.00 - $135.00
Sliding Scale
Pay By
Cash, Venmo, Credit Card, Discover, Mastercard, Visa

Licenses & Certifications

Years in Practice
License #
LMHC (Licensed Mental Health Counselor)
Board Certification(s)
National Board for Certified Counselors
Washington State Guardianship & Conservatorship Board
Professional Certification(s)
Certified Professional Guardian
Supreme Court of Washington State
Certificate in Applied Behavior Analysis
Ball State University
Graduate School(s)
Year Graduated
Ball State University
MS Applied Behavior Analysis
Walden University
MA Counseling Psychology