Sarah Kier

Sarah Kier is a Licensed Marriage and Family Therapist in Washington who provides secure video appointments. She works with preteens, teens, young adults, adults, and seniors. Her practice centers on relational health and a trauma‑informed, systems perspective that considers each person’s full context. She supports clients facing grief and loss, chronic illness or pain, and postpartum depression. She also helps with relationship issues within families, including parent–child dynamics and caregiving stress. Sarah addresses anxiety, depression, and panic, as well as posttraumatic stress. She assists with ADHD and anger, and she offers care for those recovering from abuse. Clients seeking guidance around sexual identity or sexual concerns will find a respectful space. She also works with the effects of physical stress and everyday overwhelm. Sessions are collaborative and strengths-based, with a steady focus on safety, clarity, and workable steps that fit a client’s life and relationships.