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stepping stone counseling, llc
sarah strohmayer, ma, lpc, ncc

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How We Can
Work Together

Personalized therapy for women designed around your unique needs, goals, and pace

Types
of Therapy

I offer personalized therapy designed around your goals and comfort. Whether you prefer in-person sessions or teletherapy from home, I provide evidence-based treatment in a safe, non-judgmental space.

Individual Therapy

One-on-One Support Tailored to You

In our sessions, you'll have dedicated time and space to explore what's weighing on you. Using evidence-based approaches including Cognitive Behavioral Therapy (CBT), trauma-informed care, Eye Movement Desensitization and Reprocessing (EMDR), Brainspotting, and mindfulness techniques, we'll work together to help you understand yourself more deeply and develop practical strategies for lasting change.

  • 50 or 100-minute sessions

  • Collaborative goal-setting

  • Personalized treatment plans

  • A judgment-free, confidential space

  • Evidence-based techniques

  • Available in-person in downtown Clayton, Missouri

Telehealth Sessions

Therapy From Wherever You Feel Most Comfortable

Sometimes the best therapy happens when you're in your own safe space. I offer secure, HIPAA-compliant video sessions for clients who prefer the convenience and privacy of online therapy. Same supportive care, same professional approach - just a different setting.

  • Flexible schedules

  • Telehealth sessions available for clients residing in Missouri and Arizona

  • Reduced commute stress

  • Accessibility needs

Initial Consultation

Let's See If We're
a Good Fit

Not sure where to start? Feeling nervous about reaching out? That's completely normal. I offer a complimentary 15-minute phone consultation where we can discuss what brings you to therapy, answer any questions you have about the process, and determine if we're a good match.
This is a no-pressure conversation. You're not committing to anything - you're just exploring your options. Think of it as a chance to get a feel for my approach and see if it resonates with you.

  • What brings you to therapy

  • Your goals, what you're hoping to achieve

  • My approach and how I work

  • Logistics

  • Any questions you have

Professional Women

Tailored support for women steering through the complexities of high-pressure careers, burnout, and the delicate balance of work and personal life.

Who I Work With

The journey of healing begins with feeling truly seen. These are the specific areas where I focus my support, providing a safe, dedicated space for women to navigate their personal growth and find balance through every chapter of life.

College and Graduate Students

A calm space for students to manage academic pressure, impostor syndrome, and the fundamental search for identity in a demanding environment.

Young Women (Ages 15-18)

An understanding space for students to manage academic pressure, social anxiety, and learning to balance school, family, friends, and extracurriculars.

What I Treat

I specialize in working with women facing a range of mental health challenges. Here are some of the most common concerns I help clients navigate:

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Anxiety & Stress

Racing thoughts. Constant worry. Physical tension that won't let up. Anxiety can feel all-consuming, but it doesn't have to control your life. Using CBT, mindfulness techniques, and somatic approaches, we'll work together to understand your anxiety patterns, challenge unhelpful thoughts, and develop practical tools to manage stress.

  • Generalized anxiety disorder (GAD)

  • Panic attacks and panic disorder

  • Social anxiety

  • Health anxiety

  • Phobias

  • School and work-related stress and burnout

Trauma & PTSD

Trauma doesn't just live in your memories - it lives in your body, your relationships, and the way you move through the world. Whether you've experienced a single traumatic event or ongoing trauma, I provide a safe, compassionate space for healing at your own pace.


I'm trained in EMDR and Brainspotting, both highly effective approaches for processing traumatic memories and reducing their emotional charge.

  • Post-traumatic stress disorder (PTSD)

  • Complex trauma (C-PTSD)

  • Childhood trauma and adverse childhood experiences (ACEs)

  • Sexual assault and domestic violence

  • Grief and traumatic loss

  • Accident or medical trauma

Life Transitions

Even positive changes can be stressful. Whether you're navigating a career shift, a relationship ending, a move, or a major identity transition, I can help you process the uncertainty, clarify your values, and move forward with confidence.

  • Career changes or job loss

  • Relationship endings (divorce, breakups)

  • Relocation or major moves

  • Identity exploration and shifts

  • Becoming a parent or empty nesting

  • Aging and life stage transitions

  • Loss and grief

Relationship Issues

Relationships can be difficult to navigate. We all enter relationships with different communication styles, expectations, and experiences. I can help you process your past experiences that may be affecting the success of your current relationships. 

  • Break-ups/Divorce

  • Dating

  • Work relationships

  • Family relationships

  • Friendships

Depression

Depression can make everything feel heavy - getting out of bed, connecting with others, finding joy in things you used to love. It can also be invisible to others, leaving you feeling isolated and misunderstood. Together, we'll explore what's beneath the depression, challenge negative thought patterns, and rebuild a sense of hope and purpose.

  • Major depressive disorder

  • Persistent depressive disorder (dysthymia)

  • Situational or reactive depression

  • Loss of motivation and anhedonia

  • Feelings of hopelessness or emptiness

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