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SG Portrait of Susan Guerra

Susan Guerra

Experienced LCSW offering practical, compassionate care

LCSW Louisiana

Experience
28 years in practice
Focus areas
Stress, Anxiety, Addictions, Grief
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Susan

Susan Guerra is a Licensed Clinical Social Worker (LCSW) with nearly three decades of clinical experience based in Louisiana.

Background and approach

She works with people facing a wide range of concerns including stress, anxiety, addictions, grief, depression, relationship and intimacy issues, trauma and abuse, eating and sleeping difficulties, parenting challenges, ADHD, bipolar disorder, compassion fatigue, and many other life adjustments.

Her practice also addresses more specific areas such as abandonment, attachment struggles, caregiver stress, chronic illness and pain, cancer-related concerns, codependency, communication problems, and blended family issues. Drawing on an integrative, client-centered stance, she blends evidence-based methods with practical skill-building to create individualized plans of care.

Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and Emotionally-Focused Therapy inform her work alongside a strong emphasis on mindfulness and real-world coping strategies. Susan emphasizes collaboration, tailoring learning styles and interventions so clients can practice new skills and apply them to everyday situations.

Her background includes clinical roles in home health, hospice, psychiatric hospitals, outpatient clinics, residential substance use treatment, shelters, and school settings, which contributes to a flexible, experience-rooted approach. She presents a compassionate, nonjudgmental style aimed at helping clients find realistic, actionable ways to move toward their goals.

Evidence-Informed Approaches for Online Care



Susan commonly draws on Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) in her clinical work. CBT focuses on identifying and changing unhelpful thought patterns and behaviors to reduce symptoms like anxiety or depression, while ACT emphasizes values-based action and learning to live with difficult thoughts and feelings rather than trying to eliminate them. Both approaches lend themselves to practical exercises and homework that clients can use between sessions to build coping skills.

Finding the right therapeutic approach is part of the collaborative process. The therapist works together with each person to explore goals, preferences, and what feels most useful, adapting methods as needs evolve rather than adhering to a single fixed method.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit support into busy or geographically dispersed lives. These formats allow licensed professionals to deliver structured interventions, teach skills, and provide ongoing coaching and check-ins that support progress over time.

Frequently asked questions

What concerns does she commonly help with?
Susan works with a broad range of issues including stress, anxiety, addictions, grief, depression, relationship and intimacy concerns, trauma and abuse, eating and sleeping problems, parenting challenges, bipolar disorder, ADHD, and compassion fatigue.
How would you describe her therapeutic style?
Her approach is compassionate and nonjudgmental, blending client-centered care with practical skill-building and individualized plans rather than one-size-fits-all solutions.
What is her clinical background and experience?
She has 28 years of experience and has worked in home health, hospice, psychiatric hospitals, outpatient clinics, residential substance abuse programs, women’s shelters, counseling centers, homes, and schools.
What credentials and location are on record?
She is an LCSW licensed in Louisiana under LA LCSW 4628 and practices from Louisiana.
Does she work with clients in other countries or languages?
Sessions are offered in English and she accepts international clients.
Which session formats are available?
Clients can choose video calls, phone sessions, live chat, or text-based messaging for their sessions.
How are costs and payment handled?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesBlended family issuesCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily problemsFirst responder issuesForgivenessGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

28+ years

Licensed

Louisiana

Languages

English