Susan Keene, LCSW

Susan Keene is a licensed clinical social worker with 18 years of practice experience. She centers therapy on Cognitive Behavioral Therapy, helping people notice how their thoughts shape feelings and actions. Susan writes plainly and prefers thoughtful 45-minute sessions when possible.

She pays attention to self-talk and how automatic thinking can worsen anxiety or depression. In sessions she guides clients to spot those patterns and try simple experiments to change unhelpful thinking. She also addresses how past trauma can still affect present reactions and offers calming exercises for a triggered nervous system.

Susan blends clinical experience with personal insight from having faced common life struggles. She draws on elements of Dialectical Behavior Therapy and Mindfulness Therapy when useful, offering practical skills for emotion regulation and present-moment grounding. She is not religious but respects each person’s sense of meaning.

Her practice covers a wide range of concerns including stress, relationships, self-esteem, addiction, grief, anger, compassion fatigue, ADHD, and issues tied to family background. She also helps people with codependency, communication problems, isolation, social anxiety, and life purpose questions.

Sessions are offered in English and conducted online using video calls, phone, live chat, or text-based messaging. Susan asks new clients to review a disclosure form, try the platform’s video session test, and schedule the initial appointment after completing a brief matching questionnaire.

How CBT, DBT, and Mindfulness work online

CBT focuses on the link between thoughts, feelings, and actions. Online CBT sessions help people identify unhelpful self-talk, test those thoughts, and practice clearer ways of thinking to reduce anxiety or depression. DBT emphasizes skills for managing intense emotions and improving interpersonal effectiveness; online DBT-style work can teach breathing, distress-tolerance techniques, and step-by-step emotion regulation. Mindfulness Therapy teaches simple attention and grounding practices to reduce reactivity and increase calm in daily life.

Choosing the right approach is collaborative. The therapist will talk with the client about their goals, symptoms, and preferences, then suggest trying one method or combining elements. Clients can give feedback and shift the plan as therapy proceeds to find what works best for them.

Online therapy offers flexible ways to connect. Video calls are useful for full sessions and nonverbal cues, phone sessions can fit a busy schedule or lower bandwidth, live chat works for shorter check-ins, and text messaging allows ongoing, brief support between sessions. These options make it easier to attend sessions around work, caregiving, or geographic limits while still practicing CBT, DBT, and mindfulness skills with a licensed professional.