About Susan

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) in Washington with 30 years of practice. She focuses on helping people find balance during stress, anxiety, and life changes. Her work often includes ADHD among other concerns.

She combines talk work with body-based practices to meet different needs. Susan favors a client-centered way of working. Sessions are collaborative and solution focused.

She leans on mindfulness, somatic practices, and movement to help people reconnect with their bodies as part of healing.

Background and approach

Her background includes trauma-informed care for adults and youth, and she brings psychoeducation into sessions when useful. That often means teaching simple practices for grounding, breathing, and calming the nervous system along with traditional conversation-based techniques. Clinically she uses approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment-Based Therapy while keeping the tone practical.

She also integrates therapeutic yoga and movement for clients who want a body-mind option. People come to her for many concerns including anxiety, depression, grief, relationship and family struggles, sleep problems, parenting strain, career stress, and compassion fatigue. She also supports those coping with trauma, abandonment, adoption and foster care issues, and aging or caregiver stress.

Sessions aim to be warm and nonjudgmental. Susan emphasizes that the person in therapy is the expert on their life, and she works collaboratively to shape goals and steps toward a steadier, more manageable day-to-day life.

Therapeutic approaches that translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting driven by them. ACT emphasizes values-based steps so clients can take practical action even when emotions are strong. This approach is often useful for anxiety, stress, and life changes.

Attachment-Based Therapy looks at how early relationships shape present patterns and emotional needs. It helps people identify connection styles and practice new ways of relating that feel safer and more satisfying. That work can support relationship difficulties and attachment issues.

Finding the right approach is part of the therapy process. The therapist collaborates with each person to choose strategies that match their needs, goals, and comfort level. Sessions can combine talk therapy with mindfulness, somatic exercises, or movement when that fits the person's goals.

Online formats make it easier to access ongoing care. Video calls allow face-to-face interaction for in-depth work. Phone sessions can be a lower-tech option with less bandwidth. Live chat and text-based messaging are useful for quick check-ins, journaling prompts, or brief coaching between sessions. These options help people fit therapy around work, caregiving, and other responsibilities without sacrificing continuity of care.

Questions people ask

What concerns does Susan commonly address?
She supports people dealing with stress, anxiety, depression, grief, trauma and abuse, ADHD, sleep problems, anger, self-esteem, career strain, and coping with life changes.
How would you describe her therapeutic style?
The approach is client-centered and collaborative with practical, solution-focused work. Sessions often combine conversation with mindfulness and body-based practices.
What is her professional background?
She has 30 years of clinical experience and a background in trauma-informed care, therapeutic yoga, somatics, mindfulness, and movement therapy alongside traditional psychotherapy.
What are her credentials and where does she practice?
She is a Licensed Mental Health Counselor (LMHC) licensed in Washington and works with adults in that state.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to suit different preferences and schedules.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

What this therapist works with

Experience
30 years
Licensed
Washington
Languages
English

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