Susan Domingue, LPC

Susan Domingue is a Licensed Professional Counselor (LPC) in Louisiana with 13 years of clinical experience. She focuses on helping people navigate stress, anxiety, depression, and major life changes. Her work centers on improving communication, coping skills, and day-to-day functioning.

Susan keeps sessions practical and goal-oriented. She uses techniques from Cognitive Behavioral Therapy and other approaches to help people notice unhelpful thoughts and try different behaviors. She also draws on Dialectical Behavior Therapy skills for emotion regulation and Solution-Focused ideas to set reachable short-term goals.

In the room she takes a direct but empathic approach. Conversations explore what feels most pressing, followed by clear, manageable steps to practice between sessions. She helps people build routines, improve sleep, and reduce panic or worry using simple exercises.

Susan has worked for over a decade with adults facing relationship strain, addiction concerns, trauma and abuse, or caregiver stress. She also addresses issues like body image, isolation, impulsivity, and questions about life purpose. She aims to combine real-world strategies with steady support.

Sessions can include short skills coaching, problem-solving, and targeted behavior experiments. The emphasis is on small, sustainable changes that fit everyday life. People who prefer straightforward guidance and practical tools often find this style helpful.

How therapeutic approaches work online

Susan uses Cognitive Behavioral Therapy to help people spot and change unhelpful thoughts and behaviors. CBT breaks problems into specific thoughts, feelings, and actions so clients can try new responses and measure small changes over time.

She also draws on Dialectical Behavior Therapy skills for emotion regulation and distress tolerance. DBT-style skills teach practical ways to manage intense feelings, improve interpersonal effectiveness, and reduce impulsive reactions.

Choosing the right approach is a team effort. The therapist will talk with each person about their goals and preferences and then try techniques that fit those needs. Plans are adjusted as progress and circumstances evolve.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face interaction for skills practice and deeper conversation. Phone sessions can be easier when bandwidth is limited or for quick check-ins. Live chat and text messaging work well for brief coaching, weekly check-ins, or when someone prefers typing over speaking. These options make it easier to fit therapy into busy lives and keep momentum between sessions.