Sarah St.Martin · LCSW

Therapy for overthinking, anxiety, and relationship patterns—so insight can become real change.

I’m Sarah St.Martin, LCSW, an anxiety and couples therapist in Salt Lake City, Utah. I work with thoughtful, self-aware adults and couples who understand their patterns but are tired of still feeling stuck in them. Many of the people I work with look calm, capable, and put together from the outside. They’re dependable, successful, thoughtful, and often the person everyone else turns to. But underneath that competence, there can be a lot of anxiety. Maybe you replay conversations long after they end, question your decisions, or spend more time than you’d like wondering whether someone is upset with you. You may struggle to rest without feeling guilty, say yes when you really want to say no, or feel responsible for keeping everyone around you okay. You know you’re overthinking. You know you’re people-pleasing. You may even understand exactly where those patterns came from. But knowing why you do something doesn’t always make it easier to stop. That’s where I believe therapy can become more than insight. My approach is warm, direct, and collaborative. I want therapy to help you understand yourself, but I also want that understanding to translate into your actual life: the boundary you finally set, the decision you make without polling everyone else, the moment you notice yourself starting to spiral and respond differently, or the conversation you approach with more confidence instead of fear. I also work with couples who love each other but keep getting pulled into the same painful cycle. Maybe one person pushes for connection while the other shuts down. Maybe small disagreements turn into much bigger arguments, or you’ve gradually become more distant and don’t know how to find your way back to each other. My couples work is informed by Emotionally Focused Therapy (EFT), an attachment-based approach that helps couples understand the patterns underneath their conflict and create greater emotional safety, trust, and connection. Rather than deciding who is right or wrong, we look at what happens between you and help both partners find new ways of reaching for one another. I also have a special interest in working with first responders and their partners. As the wife of a firefighter, I understand some of the unique rhythms first responder life can create: long shifts, disrupted routines, missed holidays, compartmentalizing, dark humor, and the way work can quietly follow someone home. While I don’t pretend to know firsthand what it is like to do the job, I offer a space where first responders and their partners don’t have to spend half the session explaining the culture before we can talk about how it is affecting them. Before becoming a therapist, I spent years as a professional ballet dancer and yoga instructor. Those experiences gave me a personal understanding of high-performing environments where discipline, perfectionism, achievement, and pushing through discomfort are often rewarded. They also taught me how easy it can be to lose touch with yourself while everything looks successful from the outside. Today, that experience shapes much of the work I do with high-achieving, over-functioning clients. I’m not interested in helping you become more productive, more impressive, or better at pushing through. I want to help you feel more grounded in who you already are. I earned my Master’s Degree in Social Work from Fordham University. I provide in-person therapy in Millcreek, just outside Salt Lake City, as well as secure virtual therapy throughout Utah. Outside of the therapy office, I love teaching yoga, lifting weights, cooking, trying new restaurants with my husband, taking long walks, and unwinding with a good reality show. At the heart of my work is a simple belief: you don’t need to become a different person to feel better. You may simply need help quieting the noise, trusting yourself more, and creating relationships with yourself and others that feel safer, more connected, and more sustainable.