Sarah Stewart, therapy that looks past performance in person and virtually throughout Washington state

Therapy that looks past performance

For high achievers, people-pleasers, and perfectionists who are doing well on the outside but do not feel okay on the inside.

In person in Seattle and virtually throughout Washington State

You thought this would feel easier by now

Anxiety or panic. A relationship that keeps getting caught in the same pattern. A loss that still hurts more than you expected. A period of feeling depressed or numb. A major transition that has left you questioning what you want.

You may be doing what you know you are supposed to, showing up, keeping things moving, and being there for other people, while some part of you knows something is not working.

Feel more like yourself again: individual, couples & teen therapy in Seattle, WA

Feel more like yourself again

When feeling overwhelmed, it can be hard to feel connected to yourself, present in your relationships, or able to enjoy your life. Over time, that can build quietly and start to affect other parts of your life.

Therapy can help you interrupt the cycle, reconnect with yourself, strengthen your relationships, and respond differently to difficult emotions.

The goal is not to change who you are. It is to feel more like yourself, with more clarity about what you need, more freedom in how you respond, and more ability to be present for the people and parts of life that matter to you.

Meet Sarah Stewart, MSW, LSWAIC, a Columbia-trained Seattle therapist offering collaborative, trauma-informed care for anxiety, perfectionism, and transitions.

Hi, I’m Sarah

I work with people who are thoughtful, self-aware, and used to handling things on their own. I know the pressure to perform and the instinct to think your way through a problem because I have experienced both personally and professionally.

I do not see those ways of operating as problems to fix. They have probably served you well. But they can also make it difficult to slow down, notice what you need, or respond differently when the usual ways of coping are no longer enough.

My role is to help you understand what is happening, notice the patterns that keep you stuck, and find new ways of responding that still feel like you.

Individual Therapy

For adults experiencing anxiety, perfectionism, avoidance, or self-doubt that is getting in the way of the things that matter most.

Couples Therapy

For couples caught in painful patterns, struggling to communicate, or trying to reconnect after conflict, distance, or a difficult season.

Teen Therapy

For teens navigating anxiety, pressure, relationships, identity, family changes, and the challenges of growing into who they are.


You do not have to know the way out before you begin

In person & virtual options available