Susan St Vrain, LMHC

Based in Washington 30 years in practice Online sessions

Experienced counselor blending body and talk therapies

Works with

How Susan works

Practical facts

Credentials: LMHC
Licensed in: Washington
Years in practice: 30
Languages: English
Session format: Online, through our partner platform

About Susan

Susan St Vrain is a Washington state Licensed Mental Health Counselor with 30 years of experience. She guides people through stress, anxiety, grief, anger, and major life changes. Her work focuses on practical tools and steady support rather than jargon or quick fixes.

Susan keeps sessions straightforward and collaborative. She uses a client-centered, body-aware approach that brings together talk therapy, mindfulness, movement, and somatic practices. People who want both practical strategies and attention to how emotions show up in the body often find this helpful.

Background and approach

Her background includes trauma-informed care and therapeutic yoga, which she integrates when it matches a person's goals. That means breathing, movement, or grounding exercises may be added alongside conversation. Susan also draws on cognitive and acceptance-based techniques to help with anxiety, depression, ADHD, and coping with loss.

Sessions aim to build skills for managing anger, improving sleep, and easing caregiving strain or compassion fatigue. She also supports people dealing with family of origin issues, adoption or foster care histories, and first responder stress. The emphasis is on clear, manageable steps clients can practice between sessions.

Susan describes therapy as a collaborative journey. She treats each person as the expert on their life and works with them to set realistic goals. Her style is warm, direct, and focused on lasting change.

What Susan works with

Everything Susan lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Susan's practice.

Approaches Susan lists

Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.

Approaches you can use online with a focus on body and thought work

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts without getting stuck in them and then choose actions that match their values. It can be useful for anxiety, anger, and coping with life changes. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns, which helps with depression, worry, and sleep issues. Attachment-Based Therapy looks at how early relationships shape present connections and can help people improve communication and build safer relational patterns.

Finding the right approach is part of the work. The therapist will collaborate with each person to pick and adapt methods that match their goals, comfort, and pace. Together they’ll try techniques, review what helps, and adjust the plan as needed so the approach fits the client, not the other way around.

Online therapy offers flexible ways to meet. Video calls let people see body cues and do movement or breathing exercises. Phone sessions require less bandwidth and can be easier during a busy day. Live chat or text messaging can support quick check-ins, skill practice, or brief coaching between sessions. These options help people fit therapy into work, caregiving, and other life demands while keeping the focus on practical progress.

Questions people ask about Susan

What concerns does she address?

Susan works with a broad range of concerns including stress, anxiety, trauma and abuse, grief, depression, ADHD, relationship and family issues, sleeping problems, parenting strain, anger, self-esteem, career transitions, bipolar challenges, and compassion fatigue.

What is her therapeutic style like?

Her style is client-centered and collaborative, mixing talk therapy with mindful and body-centered practices. She aims for practical skills and creative problem solving tailored to each person.

How much experience does she have?

She brings three decades of clinical experience working with adults on a wide range of life challenges and stress-related concerns.

What are her credentials and where is she based?

She is a Licensed Mental Health Counselor, LMHC, licensed in Washington state and practices from that region.

In what languages can sessions be held?

Sessions are offered in English.

Can people outside the U.S. work with her?

International clients are not currently accepted; she practices with clients located in Washington.

What session formats are available?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and communication preferences.

How are fees handled and how do I begin?

Costs vary with location and therapist availability and sessions use a subscription that can be canceled at any time. To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.