- ACT and CBT
- Somatic practices
- Therapeutic yoga
About Susan
Susan St Vrain is a Washington LMHC with 30 years of clinical experience. She has worked with adults on stress, anxiety, trauma and abuse, grief, depression, ADHD, relationship and family concerns, sleep problems, parenting strain, anger, self-esteem, career questions, bipolar mood issues, and coping with life changes.
Susan uses a mix of familiar therapy methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Attachment-Based work, Emotionally-Focused Therapy, and client-centered practice. Sessions often include mindfulness and body-oriented ideas. She also brings experience with therapeutic yoga and somatic work for people who want movement and breath included in sessions.
Her style is collaborative and practical. Susan focuses on clear goals and problem-solving while paying attention to thoughts, feelings, and bodily signals. She encourages straightforward skill building for everyday stress, sleep disruption, and relationship patterns.
Susan has long experience providing psychoeducation alongside therapy. That can mean learning breathing or grounding practices, trying brief behavioral experiments, or using communication exercises to reduce conflict and improve boundaries. She also works with people navigating grief, adoption and foster care issues, caregiver stress, and first responder-related strain.
People meet Susan to sort through transitions such as leaving school, changing careers, parenting stress, or complicated losses. She asks direct questions, listens for patterns, and then helps develop practical steps to make daily life more manageable.
How her approaches translate to online work
Susan commonly uses Acceptance and Commitment Therapy and client-centered methods. ACT focuses on noticing thoughts and choosing actions that match your values rather than getting stuck in unhelpful thinking. Client-centered work emphasizes listening and building practical skills at a pace you set.She also integrates attachment-based ideas to look at how patterns from important relationships affect current stress and conflicts. That approach helps with relationship strain, communication problems, and feeling safer in connections with others.
Finding the right approach is part of the work. Susan will collaborate with each person to decide what mix of techniques fits their goals and preferences. That may mean trying brief behavioral steps, learning mindfulness or breath practices, or adding movement-related exercises when useful.
Confirm session formats before booking because the biography does not list them. Online therapy can make it easier to fit sessions into a busy week, shorten travel time, allow check-ins between appointments, or let someone choose a quieter setting or lower-bandwidth option when needed. Therapists and licensed professionals will work with you to set goals and practical next steps that fit everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of problems does she work with?
Susan works with stress, anxiety, trauma and abuse, grief, depression, ADHD, relationship and family concerns, sleep problems, parenting strain, anger, self-esteem, career issues, bipolar mood concerns, and coping with life changes.
How would she describe her approach?
Her approach blends Acceptance and Commitment Therapy, Cognitive Behavioral tools, Attachment-Based and Emotionally-Focused ideas within a client-centered style. Sessions often include mindfulness and body-oriented practices when helpful.
How much experience does she have?
She has 30 years of experience providing counseling, psychoeducation, and body-informed practices such as therapeutic yoga and somatic work.
Where is she licensed and based?
Susan is a Washington LMHC and practices in Washington state.
Can I work with her if I live outside the United States?
Sessions are conducted in English and she is not currently accepting international clients.
What session formats does she offer?
Confirm current session options before booking, as the biography does not list specific session formats.
How much do sessions cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.