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.
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What this therapist works with
Most often
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Washington
- Languages
- English
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