- Mindful and body-centered
- Collaborative style
- Trauma informed approach
About Susan
Susan St Vrain is a Washington State licensed mental health counselor with 30 years of experience. She helps people find balance when life feels stressful, anxious, or out of hand. Her background includes trauma-informed work and therapies that connect body and mind. Susan draws on many ways to help, and she treats each person as the expert on their life.
Clients can expect a calm, collaborative style. Sessions focus on practical steps and creative problem solving. Susan often uses mindfulness, movement, and therapeutic yoga alongside talk work to support healing from abuse, neglect, and loss.
Her approach is client-centered and holistic. That means attention to thoughts, emotions, and bodily experience. Work together is aimed at clearer choices, improved coping, and more satisfying daily routines.
Susan has particular experience with anxiety, depression, grief, trauma, ADHD, and stress-related concerns. She also addresses issues such as attachment, abandonment, caregiver stress, and aging-related concerns. Adoption and foster care are listed among her additional focus areas.
Therapy with her emphasizes collaboration and practical skills. Expect straightforward discussion, gentle body-based practices when helpful, and steady support for life transitions. She frames progress as steady steps rather than instant fixes.
How therapeutic approaches guide online care
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck in them while focusing on chosen values and actions. It is often useful for anxiety, depression, and meaning-focused challenges. Attachment-Based Therapy looks at how early relationship patterns shape current connections and emotional responses; it can help people who want clearer ways to relate and feel safer in close relationships. Client-Centered Therapy centers the person's own goals and experience, offering empathy and active listening so clients can find their own solutions.Finding the best approach is part of the work together. The therapist will talk with each person about goals, preferences, and what feels most helpful. That conversation shapes whether ACT, attachment work, client-centered listening, or a blend is used in sessions.
Session formats are not specified here, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when needed. It also allows use of movement or mindfulness practices at a convenient time, and helps continue care through life transitions when in-person visits are difficult. Licensed professionals can adapt exercises and pacing remotely so work stays practical and focused on real-life improvements.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Credentials
Washington
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, depression, grief, trauma, ADHD, and coping with life changes. Additional focuses include adoption and foster care, attachment concerns, caregiver stress, and career or relationship struggles.
What is her therapy style like?
The style is client-centered, collaborative, and solution-focused. Sessions may blend talk therapy with mindful and body-based practices like therapeutic yoga or somatic techniques.
How much experience does she have?
She brings 30 years of professional experience providing mental health care and psychoeducation. That background includes trauma-informed work and body-mind approaches.
What are her credentials and location?
She is a LMHC - Licensed Mental Health Counselor in Washington. Her professional practice is based in Washington State.
Which languages are supported?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are not currently accepted.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.