Susan St Vrain, LMHC

Susan St Vrain is a licensed mental health counselor in Washington with three decades of clinical experience. She focuses on helping people manage stress, anxiety, grief, depression, ADHD, and life transitions. Her work blends practical talk with body-based practices so clients can use what they learn right away.

Susan describes her style as client-centered and collaborative. Sessions are goal-focused and creative. She often brings mindfulness, movement, and somatic techniques into conversations when they fit a person's needs.

Many clients come for help after trauma, abuse, or major loss. She also supports people dealing with caregiver strain, first responder stress, relationship or communication problems, and issues tied to adoption or family of origin. Treatment plans are tailored to each person's situation and strengths.

Her background includes therapeutic yoga, somatic work, and mindfulness training alongside talk-based methods. Those elements are used to expand self-care and to help people reconnect with their bodies while processing difficult emotions.

Susan aims to create an open, warm, and nonjudgmental space for change. She views clients as the experts on their lives and works alongside them to set realistic steps and measurable goals. The focus is on practical tools that support more balance and a fuller sense of wellbeing.

Integrating evidence-informed approaches in online care

CBT, or cognitive behavioral therapy, focuses on identifying unhelpful thought and behavior patterns and replacing them with practical coping skills. It often helps with anxiety, depression, sleep problems, and managing mood symptoms. Acceptance and Commitment Therapy, or ACT, teaches people to notice difficult thoughts and feelings while committing to actions that match their values; it can be useful for stress, chronic worry, and life changes.

Attachment-based work looks at relationship patterns that developed early and how they affect current connections. This approach supports people who want to repair how they relate to others and improve communication and trust. Susan will treat approach selection as a team effort, helping clients try methods and adjust based on what fits their needs, goals, and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video sessions allow face-to-face work and practice of skills. Phone sessions use less bandwidth and can be easier to schedule during a workday. Live chat or messaging offer brief check-ins, homework support, and ongoing coaching between sessions. These options make it possible to continue therapy across busy schedules and varying energy levels.