Sus Austill, LCSW

Sus Austill is a licensed clinical social worker with 37 years of experience. She uses Cognitive Behavioral Therapy along with client-centered and mindfulness approaches to help people navigate addiction, trauma, anxiety, and major life changes. Sus speaks English and Danish and practices from Florida, offering services to domestic and international clients.

She frames therapy as practical and straightforward. Sessions focus on identifying unhelpful thoughts and behaviors, building skills for coping, and finding clearer ways to handle stress. Sus aims to give simple, useful tools that people can try between sessions.

Her background includes long experience in substance use treatment, crisis stabilization, and work across outpatient and residential settings. That history informs how she shapes treatment for issues like grief, depression, ADHD, and compassion fatigue. She also works with concerns tied to identity and marginalization, including LGBT and gender dysphoria related matters.

Sus emphasizes listening first. She draws from motivational interviewing and narrative therapy to help people tell their story and decide what change looks like. Mindfulness practices are added when they fit, for paying attention to feelings and reducing reactivity.

Practical matters are part of the work. Sessions can be through video, phone, live chat, or text messaging. People who want to begin can use the platform’s matching process to find her and schedule sessions that fit their life.

How CBT, Client-Centered Work, and Mindfulness Translate Online

CBT focuses on the connection between thoughts, feelings, and behaviors. Online sessions use conversation and short exercises to spot patterns, test unhelpful thoughts, and practice new responses that reduce anxiety or cravings.

Client-centered therapy places the person’s experience at the center. The therapist listens deeply, reflects what is said, and helps a person find their own solutions and next steps. This approach is useful when someone needs a steady, respectful space to sort through complex emotions.

Mindfulness therapy teaches simple paying-attention skills to reduce reactivity and increase calm. Practices can be introduced in a session and then practiced between meetings to help with stress, anger, or depression.

Choosing the right approach is part of the work together. The therapist will discuss goals, preferences, and what has helped in the past to decide which methods to use. That collaborative process can shift as needs change.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for in-depth conversations and guided exercises. Phone sessions can be a practical option when bandwidth is limited. Live chat or text messaging can suit shorter check-ins or support between sessions. These options offer flexibility to fit therapy into work, caregiving, or daily routines.