Susan St Vrain is a Washington state licensed mental health counselor (LMHC) with 30 years of experience supporting people through stress, anxiety, grief, and life changes. She brings a practical, body-aware approach that blends talk-based work with mindfulness and movement. Sessions are collaborative and aimed at helping clients find balance and clearer day-to-day coping.
Her practice focuses on common struggles like depression, ADHD, sleeping problems, anger, and self esteem. She also addresses trauma and abuse, caregiving strain, compassion fatigue, and challenges that come with adoption, abandonment, or family of origin issues. Career stress, parenting concerns, and adjustment after major change are part of her regular work.
Clinically she uses client-centered methods alongside cognitive behavioral ideas and acceptance-based strategies. Attachment-informed work and emotionally focused techniques shape how she looks at relationships and long-standing patterns. The mix is adaptable so sessions can match what each person needs.
A strong part of her offering is mind-body practice. She has long experience with therapeutic yoga, somatic work, mindfulness, and movement therapy. These tools are offered to people who want to include breathing, grounding, and body awareness in their healing and self-care.
Susan describes therapy as a team effort where the client is the expert on their life. The aim is to create a warm, nonjudgmental space for steady progress. To begin, readers are encouraged to use the site's Start Therapy flow to match and schedule a time.
Approaches that translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It can be useful for anxiety, stress, and making life changes. Attachment-Based Therapy looks at how early relationship patterns affect current connection and trust. It can help when relationship patterns or family of origin issues cause pain. Client-Centered Therapy focuses on listening, empathy, and the client’s own goals to guide change; it is helpful when someone needs a supportive place to sort feelings and decisions.
Finding the right approach is part of the process and will be decided together. The therapist will talk with the client about goals, preferences, and what feels most useful, then adapt methods over time. This collaborative planning helps shape sessions that fit each person’s needs.
Confirm the therapist's available online session options before scheduling, as specific formats are not listed here. In general, online work can make it easier to fit therapy into a busy life by removing commute time, allowing shorter check-ins when needed, and letting sessions occur from different everyday settings. Many people find that combining talk work with guided mindfulness or gentle body awareness exercises works well over video or phone, but confirm which session options the therapist currently offers before booking.
She works with stress, anxiety, depression, trauma, grief, ADHD, sleep issues, anger, self esteem, career strain, and related life changes.
How would you describe her therapy style?
Her style is client-centered and collaborative, combining talk therapy with mindfulness, somatic exercises, and solution-focused planning.
What is her professional background?
She has 30 years of clinical experience and long experience offering therapeutic yoga, somatics, and movement-based interventions alongside counseling.
Which credential does she hold and where is she based?
She is a Washington LMHC and practices in Washington state.
In what languages are sessions offered?
Sessions are offered in English.
Are international clients supported?
International clients are not currently accepted.
How does pricing and payment work?
Cost varies with location and therapist availability, and sessions operate through a subscription that can be canceled at any time.
How do I begin working with this therapist?
Use the continue button on this profile, complete the short matching questionnaire, and schedule a session according to therapist availability.
