- Client-centered approach
- Mindful and somatic
- Solution focused
About Susan
Susan St Vrain is a licensed mental health counselor in Washington with three decades of practice helping people regain balance during stress and major life changes. She brings long experience supporting people with anxiety, depression, grief, trauma, ADHD, and caregiving strain. Susan describes her work as collaborative and grounded in the person she is meeting.
Her style is client-centered and practical. Sessions focus on what matters to the person and on small, usable steps. She blends mindfulness, somatic work, and therapeutic yoga with talk therapy to address both body sensations and thought patterns. This can be helpful for people coping with trauma, chronic stress, or difficulties with sleep and mood.
Susan also works with issues around relationships, codependency, abandonment, and family of origin concerns. She offers psychoeducation and movement-based practices alongside traditional therapy tools for people who want a body-mind approach. Her goal is to help clients find clearer ways of relating to themselves and others.
She emphasizes collaboration and believes clients are the experts on their lives. Therapy with her tends to be creative, solution-focused, and paced to the client’s needs. The intent is steady growth rather than quick fixes.
Susan holds the credential LMHC, which stands for Licensed Mental Health Counselor, in Washington state. Prospective clients are encouraged to use the site matching tools to begin the intake process and choose a schedule that fits them.
Approach choices and online therapy
Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed steps toward them while learning to notice difficult thoughts without getting stuck. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical strategies to change unhelpful patterns. Attachment-Based Therapy explores how early relationship patterns influence current connections and helps people try new ways of relating to others. Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and preferences. Clients and the therapist can try different techniques and adjust the plan as needs change. Confirm the available session formats before booking, since specific online options are not listed in the biography. Online sessions can make it easier to fit therapy into busy lives, reduce travel time, and allow people to attend from a familiar environment. They can also allow shorter check-ins on a hectic day or make it simpler to maintain regular work on issues like anxiety, grief, or codependency. Ask about the session options when you schedule to pick a format that matches your routine.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?
Susan works with stress, anxiety, depression, trauma and grief, ADHD, bipolar mood concerns, sleep problems, parenting strain, caregiving stress, and related issues such as codependency and attachment concerns.
How would you describe her therapy style?
The approach is client-centered, mindful, and practical. Sessions mix talk therapy with body-oriented practices and aim for collaborative, solution-focused work.
What experience does Susan bring?
She brings about 30 years of professional experience working with adults and youth on stress, trauma, life transitions, and somatic approaches including therapeutic yoga.
What are her credentials and location?
She is a Washington LMHC, which means Licensed Mental Health Counselor in Washington state.
Does she work in languages other than English?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
How are costs and billing handled?
Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.