Welcome to Aviva
“The privilege of a lifetime is to become who you truly are.”
“True healing is not about managing symptoms; it is an act of deep, sovereign reclamation. The remembering of who you truly are underneath any painful or traumatic life experiences.”
Sarah Rosen Garrett
LCSW-S, RPT-S, RYT-200
As an integrative therapist and founder of Aviva, I believe in holistic and integrative care that bridges ancient wisdom with modern advances in neuroscience and evidence-based care.
For 28 years, I have walked alongside individuals navigating complex trauma, grief and loss, and profound life transitions. My journey began in the classroom with Teach for America as a special education teacher in an underserved public school—a foundational experience where I was twice honored as Teacher of the Year. It was here that my lifelong commitment to equity, human resilience, and neurodivergent-affirming, trauma-informed care was born.
My passion for innovative and accessible mental health care led me into the nonprofit sector, where I founded, scaled, and led a successful nonprofit organization, Phoenix Center. Having served as a psychotherapist, CEO, and lead Clinical Supervisor, I spent over two decades designing trauma-informed clinical systems, developing an integrative model of care, planning therapeutic camps and retreats, and mentoring the future generation of therapists. Today, I serve on the Board at Phoenix Center.
Grounded in psychotherapy, somatic and integrative healing modalities and trauma-informed care, this practice is a dedicated safe space for women navigating complex trauma, grief, loss, burnout, significant life transitions, perimenopause and menopause. These biological milestones are far more than physical changes - they are profound psychological and spiritual initiations.
As a speaker and published author, I have presented at conferences in Texas, nationally, and internationally, and continue to offer advanced training and consultation for mental health care professionals. I am the author of the book Phoenix Rising—a modern tale of overcoming adversity—and my clinical work includes a co-authored article in Play Therapy Magazine with Lindsey Humphrey Crelia.
Whether you join me for depth psychotherapy, integrative therapies, or an immersive healing retreat, my goal is to provide the sacred space and clinical depth you need to shed what no longer serves you and rise fully into your next chapter as your true self. My work bridges:
Clinical psychotherapy
22 years of experience
Licensed psychotherapist (LCSW-S)
Registered Play Therapist Supervisor (RPT-S)
Board Approved Supervisor offering supervision and training for therapists (LCSW-S, RPT-S)
EMDR trained
Over 20 years of experience leading innovative and immersive therapeutic camps and retreats, including founding, leading, and scaling a nonprofit organization (Phoenix Center, 2007), developing a trauma-informed model of care, and providing clinical consultation and trauma-informed trainings for mental health professionals, communities, and schools.
Specialization in trauma-informed care, PTSD, and Complex PTSD (C-PTSD), traumatic grief, spiritual and religious trauma, parenting high needs children, family systems, trauma-informed parenting, developmental trauma, adoption and foster care, attachment, neurodivergence, Highly Sensitive Persons (HSPs), executive stress and burnout, vicarious trauma, midlife transitions, perimenopause, menopause, depression, suicide, self-harm, anxiety, and more.
Neurodivergent, LGBTQIA+ & BIPOC affirming safe space.
Creative and experiential therapies
Specialization, certification and advanced training in art therapy, sand tray therapy, play therapy, EMDR, nature-based therapy & animal-assisted therapies.
In addition to extensive art therapy training, Sarah is an artist and writer, and personally believes in the healing power of the creative arts. Learn more about Sarah’s book here.
Ketamine-Assisted Psychotherapy (KAP)
trained in KAP (Ketamine-Assisted Psychotherapy) and psychedelic preparation and integration using a Jungian depth psychotherapy model
sessions available for individuals, couples, and groups
in-person and online options
openings for new clients in January 2027
Somatic healing (Yin Yoga, Sound Healing, Meditation, Reiki Energy Healing)
Certified Sound Healer (sound healing)
Registered Yoga Teacher (RYT-200), specializing in Trauma-Informed Yin Yoga
Master Reiki Practitioner
Meditation, Mindfulness, and Holistic Wellness Coaching
Spirituality
I believe in the integration of mind, body and spirit. You are welcome to bring spirituality and your spiritual beliefs into our sessions. Please note that this is optional and your beliefs and personal preferences are honored at all times.
My approach is inclusive, trauma-informed and your personal beliefs are deeply respected. Questions? Please contact me to learn more.
Depth Circles are offered for groups and personally curated for your needs; please contact us for more information.
During the last 6 years, after experiencing the depths of traumatic grief during the initiation of perimenopause and menopause, a series of spiritual awakenings lead to years of deeper healing, advanced training in holistic therapies, integration, and transformative growth. Having personally walked this path, it would be my profound honor to walk beside you.
Our journey of healing, integration, and rediscovering wholeness is ever unfolding and the “nectar is in the journey.”
My guiding philosophy is that true healing is not about managing symptoms; it is an act of deep, sovereign reclamation. The remembering of who you truly are underneath any painful or traumatic life experiences.
You are not broken. You are already Whole.
Reclaim Your Story: Book a Consultation
“Hope begins in the dark.” — Anne Lamott
“Midlife is your initiation, not your decline.”
— Anonymous
The only thing that was ever wrong with me was my belief that there was something wrong with me.”
― Glennon Doyle
Our Services & Rates
Therapy
Online or in-person depth psychotherapy, including KAP. For questions about Ketamine Assisted Psychotherapy (KAP), please contact us to book a consultation call. Please read more about our model of care, therapeutic modalities, and Sarah here.
50 mins | $225| Get started
150 mins | $600 | Ketamine-Assisted Psychotherapy Extended
Please note that new psychotherapy & KAP clients will be accepted in January 2027. Please contact us to join our waiting list.
Energy & Wellness
Reiki Energy Healing | Trauma-Informed Yin Yoga
Trauma-Informed Sound Healing
Please contact us for 1:1 and group rates and to learn more.
Coaching
Consulting & Clinical Supervision
Online holistic coaching sessions are focused on your personal goals. Please contact us to book a consultation call. Limited appointment openings are available at this time.
50 mins | $225 | Get started
Online or in-person consulting & clinical supervision.
Board-Approved Clinical Supervisor for LCSW and RPT
Consulting & Training for Executives, Nonprofits and Businesses
60 mins | $225 (not including travel) | Get started
Therapeutic Retreats
Sovereign Soul: from Burnout to Renewal Retreat
A Sanctuary in the Blue Zone
We will gather from January 1–5, 2027 at the beautiful Aves Hotel & Resort. Tucked into the lush hills above Montezuma, this boutique wellness retreat center is located within Costa Rica’s famous Nicoya Peninsula Blue Zone —one of the rare geographic regions in the world where people live the longest, healthiest, and happiest lives. Surrounded by vibrant jungle canopy and soothing panoramic ocean views, the location itself is medicine for your body, mind, and soul.
This is a small group therapeutic retreat with limited spots and rooms available. Learn more and secure your spot here today.
To be added to our future retreat mailing list, please contact us.
"Sarah creates a therapeutic environment that is warm, welcoming, and deeply grounded in trauma-informed care. She has expertise in Expressive Arts, Yoga, Reiki, EMDR, Ketamine Assisted Psychotherapy and other trauma-informed modalities that honor the mind, body, and spirit. Sarah has a unique ability to help clients explore difficult experiences with compassion and creativity, allowing for meaningful insight and lasting transformation. She skillfully meets each person where they are, tailoring the therapeutic process to their individual needs, strengths, and beliefs.
Sarah is also exceptionally skilled at creating and leading healing retreats and other immersive therapeutic experiences. She understands the importance of approaching this work through a trauma-informed lens, creating spaces that prioritize emotional and psychological safety, choice, consent, pacing, and connection. Her grounded presence and ability to hold space allow participants to engage in meaningful healing while feeling supported and respected throughout the process. She balances structure with flexibility, recognizing when to gently guide, when to invite deeper exploration, and when simply to be present with what emerges.
Her authenticity, clinical expertise, and holistic approach make her an exceptional therapist and retreat facilitator for those seeking healing from trauma, navigating life transitions, deepening self-understanding, or reconnecting with their inner resilience. I highly recommend Sarah to anyone looking for a healing experience that combines evidence-based practices with creativity, heart, and respect for the whole person.”
Earley Barnes-Ullrich, LCSW-S, RPT-S™, EMDRIA Consultant™, Psychotherapist
“Sarah has an intuitive gift for creating intentional space to rekindle creativity, foster connection, and reconnect with your authentic self. Whether you are seeking an opportunity for individual or collective regulation, meaningful reflection, trauma healing, or renewed connection- with yourself and others, Sarah’s consultations and group retreats invite deep interpersonal exploration within a warm, nurturing, and supportive environment.”
Lindsey Crelia, LCSW-S, RPT-S, RST,, Psychotherapist
“After decades of meeting the needs of others, I felt like I was stalled out in an intersection--having lost my momentum and my way. Sarah guided me back to myself and helped me tap into the joy and clarity that had been within the whole time."
Anonymous to protect privacy and confidentiality
“I have had the honor and joy of working with Sarah over many years. She carries a presence about her that makes you feel a deep sense of warmth and love. She helps people believe that more things are possible in their lives. In her many years of experience, she has created magic in the form of art, connection, collaboration with nature, and deep trauma healing. She truly believes in the power of the human soul, and this shows in the well-being of the people she works with.”
Alice Seitzer, LCSW, LCDC, RYT-200, Psychotherapist