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Susan St Vrain, LMHC

Based in Washington Online sessions

Calm, practical therapy grounded in mind and body

Book with Susan
Years in practice
30
Credentials
LMHC
Licensed in
Washington
Languages
English
Focus
Stress, Anxiety
Focus
Trauma and abuse
Focus
Grief
About

About Susan

Susan St Vrain is a Washington-licensed mental health counselor with three decades of clinical experience. She focuses on helping people regain balance during stress, anxiety, grief, and major life changes. Her work emphasizes a collaborative relationship where the client’s goals guide the process.

Susan uses a client-centered approach that blends talk therapy with body-aware methods. She integrates mindfulness, therapeutic movement, and somatic practices for people interested in attending to both thoughts and bodily responses.

Background and approach

Sessions are practical and goal-oriented, with time spent on skills that can be used between meetings. Her background includes long experience addressing mood concerns like depression and bipolar symptoms, along with trauma, grief, ADHD, sleep problems, and caregiver strain. She also supports people facing career stress, compassion fatigue, and the emotional effects of adoption, abandonment, or family of origin issues.

The emphasis is on helping each person find workable strategies that fit their life. Susan frames therapy as a collaborative journey. She treats clients as the experts on their lives and offers tools, education, and guided practices to shift patterns that cause distress.

Conversations often mix emotional processing with skill practice and movement or breathing exercises when helpful. Clients who prefer a mix of evidence-based talk approaches and somatic methods tend to find her style useful. She aims to create a warm, nonjudgmental space where people can experiment with new ways of coping and relating to themselves and others.

Focus areas and approaches

What Susan works with

Everything Susan lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Susan helps people with.

Approaches Susan lists

Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.

Online support

Therapeutic approaches for online work

Acceptance and Commitment Therapy (ACT) encourages noticing thoughts and values-based action. It helps people manage anxiety, depression, and life changes by teaching skills to stay present and pursue what matters. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and building new behaviors. It is useful for anxiety, sleep problems, mood difficulties, and practical problem solving.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs and goals. Sessions often combine ACT, CBT, and body-aware practices so plans evolve based on what is helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and guided exercises. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat or text messaging can support brief check-ins, coaching, and continued practice between sessions. These options make it easier to fit therapy into a busy schedule and to continue work when in-person visits are difficult.
Questions

Questions people ask about Susan

What kinds of concerns does she address?

Susan works with stress, anxiety, depression, grief, trauma, ADHD, sleep problems, parenting concerns, and related issues such as caregiver stress and compassion fatigue.

What is her therapeutic style like?

Her style is client-centered and collaborative, mixing talk therapy with mindfulness and body-focused practices to build practical coping skills.

How much clinical experience does she have?

She brings 30 years of professional experience providing mental health care and psychoeducation across a range of concerns.

What are her credentials and where is she located?

She is a Licensed Mental Health Counselor, WA LMHC, practicing in Washington.

Which languages are offered and can international clients join?

Sessions are offered in English. International clients are not currently accepted.

What session formats does she offer?

Work can be scheduled as video calls, phone sessions, live chat, or text-based messaging depending on client preference.

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 if I want to work together?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule a time according to the therapist's availability.

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