Statewide telehealth in NC · FL · SC

Move forward with quiet strength.

I offer evidence-based therapy for anxiety, trauma, compassion fatigue, burnout, and perfectionism-related patterns—grounded in practical steps and respect for your pace. I know that taking the first step toward therapy is a remarkable act of courage and an important investment in your well-being, and I will meet you there with warmth and respect.

Find me on Grow Therapy Explore my approach

Karen Tremblay, LCSW

SISU lotus logo and SISU Behavioral Health And Consulting, PLLC

Secure telehealth · NC · FL · SC

About me

Professional headshot of Karen Tremblay, LCSW

I meet you with clarity, collaboration, and respect.

My work is goal-directed, collaborative, and grounded in the understanding that change is both constant and certain.

I welcome adults from diverse backgrounds to telehealth therapy for anxiety, chronic stress, fear, shame, perfectionism, and self-critical patterns. Through Solution-Focused Therapy, we identify and build on your strengths, find practical solutions, and foster the resilience to navigate challenges effectively.

Who I work withAdults ages 18 to 150 · Individuals · Telehealth

Karen Tremblay, MSW, LCSW
Licensed Clinical Social Worker in North Carolina since 2004; also licensed in Florida and South Carolina

Bright minimalist therapy space with two white chairs, bamboo, warm wood, and natural light

Background & credentials

Experienced care, grounded in proven practice.

My background spans a wide range of behavioral health settings, giving me a practical understanding of care across different levels of need.

Education
Undergraduate degree in Psychology; master’s degree in clinical social work (MSSW), University of New England.
Certifications
Specialty certifications include trauma-informed care, EMDR, clinical supervision for social workers, evidence-based care in therapy practices, and working with service-connected individuals in the United States military.
Licensure
LCSW, licensed in North Carolina since 2004; also licensed in Florida and South Carolina.
Experience
Extensive work in acute behavioral health care settings, including emergency departments, outpatient mental health, forensic settings—including state and federal prisons—telehealth, and inpatient psychiatric hospitals.
Clinical approach
My work is solution-focused and committed to evidence-based practices shown to be effective, including Cognitive Behavioral Therapy (CBT).

Areas of focus

Anxiety

Build understanding and practical tools for worry, overwhelm, and patterns that keep you feeling on edge.

Trauma

Work at a thoughtful pace toward greater safety, choice, and connection in daily life.

Burnout & compassion fatigue

Make room for restoration when sustained responsibility and caring for others have depleted your reserves.

Perfectionism

Untangle high-pressure patterns and develop a more flexible, sustainable relationship with achievement.

Life transitions

Find steadier footing through personal change, shifting roles, and seasons of uncertainty.

Employment stress & career transitions

Navigate workplace pressures, role changes, and career decisions with support informed by experience in forensic social work, hospital settings, federal government service, and law enforcement.

SISU (n.)

Sisu is a special strength and persistent determination and resolve to continue and overcome in the moment of adversity... an almost magical quality, a combination of stamina, perseverance, courage, and determination held in reserve for hard times.

What is SISU?

Strength for the moments that ask more of us.

Sisu is a Finnish word and concept originating from Finland.

Accessing care

Therapy that meets you where you are.

Format
Secure, statewide telehealth for clients anywhere in North Carolina, Florida, or South Carolina.
Hours
Monday–Friday, 10:00 AM–10:00 PM Eastern Time.
Insurance
Blue Cross Blue ShieldAetnaCignaUnitedHealthcare

In network with more than 50 commercial plans. Coverage and cost depend on your plan; verify your benefits through Grow Therapy before booking.
Private pay
$140 per hour.
Contact the practice directly to get started with private-pay care.
Pay for Initial Session Pay for Recurring Session

Choose the payment link that matches your session type · $140 for each 60-minute session.

Good Faith Estimate
Formal estimated cost: $140 per hour.
Under the federal No Surprises Act, private-pay clients may request a Good Faith Estimate of expected charges based on the $140 hourly private-pay rate.
Scheduling
Use Grow Therapy to review availability, confirm insurance benefits, and request a first appointment.
Client resources
Treatment philosophy · Session guidelines · Emergency protocol · Community resources

How it works

A direct path to getting started.

Choose the route that fits your coverage, book your first therapy session, and meet securely online from anywhere in North Carolina, Florida, or South Carolina.

  1. 01

    Choose your path

    Using insurance? Start through Grow Therapy to review benefits and availability. For private-pay care or a direct referral, contact Karen by phone or email.

  2. 02

    Book your first session

    Request an appointment through Grow Therapy, or coordinate a private-pay appointment directly with the practice. New clients begin with a full therapy session.

  3. 03

    Prepare and meet online

    Complete the intake information provided with your appointment, then join the secure telehealth session from a private location in a state where Karen is licensed.

What to expect

A clear beginning, with room to be yourself.

Therapy is collaborative and purposeful, with space to understand what matters now and identify practical next steps.

Tall cairn of balanced white stones

Your first session

During our initial therapy session, we will lay the groundwork for our joint efforts and take time to become acquainted. I will address your questions about the therapeutic process, and we will outline the structure of therapy.

How telehealth works

Sessions take place through a secure, HIPAA-compliant video platform. Join from a private location in a state where Karen is licensed, using a device with a camera, microphone, and stable internet connection.

Session structure

Each session may include a check-in, focus on current concerns and goals, collaborative practice of skills or strategies, and a clear next step to carry into daily life.

Statewide telehealth

Care from where you are.

Telehealth sessions are available statewide in North Carolina, Florida, and South Carolina. You may join from any private location within one of these states.

Privacy & HIPAA

Notice of Privacy Practices

Protecting the confidentiality of client information is critically important to SISU Behavioral Health And Consulting, PLLC. The practice follows applicable HIPAA privacy and security requirements for telehealth care, and information about your care is used and disclosed only as permitted by law and as described in the practice’s Notice of Privacy Practices.

You may request a copy of the full Notice of Privacy Practices or ask questions about how your information is handled by contacting the practice.

Inclusivity

Your full experience is welcome.

Clients of diverse cultures, identities, backgrounds, abilities, beliefs, and lived experiences are welcome. Care is culturally sensitive, grounded in respect and curiosity, and shaped collaboratively around what matters to you.

Who I work with

Adults ages 18 to 150.

Individual telehealth therapy is available to adults located in North Carolina, Florida, and South Carolina.

Client resources

Helpful information, before and between sessions.

Review the practice approach, prepare for telehealth, understand what to do in a behavioral health emergency, and connect with national support resources.

Treatment philosophy

I offer goal-directed, collaborative therapy that recognizes your experience, strengths, and capacity for change.

I view change as both constant and certain, and I shape our work around the goals that matter most to you.

I use Solution-Focused Therapy to help you identify and build on your strengths, create practical change, and recognize what is already working.

I welcome individuals from diverse backgrounds to telehealth therapy for anxiety, chronic stress, fear, shame, perfectionism, and self-critical patterns. Together, we focus on practical solutions and strengthen your resilience for the challenges ahead.

I believe you are the expert on your own experience and already possess strengths and resources that can support meaningful change.

I recognize that finding a therapist and taking this first step require courage, and I will meet that investment with care and respect.

Strengths I bring to the work

I bring humor, humility, empathy, and my experiential and educational knowledge to our work. I believe support, acceptance, and clear communication are essential to creating lasting life changes.

Treatment methods

  • Solution-Focused Therapy — I help you identify and build on your strengths to create practical, positive change.
  • Culturally Sensitive Therapy — I approach your cultural beliefs and lived experience with respect, curiosity, and care.
  • Attachment-based Therapy — I explore how early attachment relationships may influence emotional and relational patterns.
  • Cognitive Behavioral Therapy (CBT) — I use evidence-based interventions to help you understand and shift unhelpful patterns.

The atmosphere

Bright, grounded, and intentionally simple.

Serene modern office with a wood desk, neutral chair, bamboo plant, and balanced Asian-inspired details

A beginning can be quiet

See whether working together feels like the right next step.

Search for Karen Tremblay on Grow Therapy to view scheduling options and insurance details.

Continue to Grow Therapy Pay for Initial Session Pay for Recurring Session
Grow Therapy is for scheduling and insurance. For private pay, choose the Stripe link that matches your session type · $140 for each 60-minute session.

Prefer to connect directly:
(984) 355-2432
info@sisubehavioralhealthandconsulting.com