Susan St Vrain

Compassionate clinician integrating mind and body care

LMHC Washington

Experience: 30 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Susan

Susan St Vrain is a licensed mental health counselor practicing in Washington with three decades of clinical experience supporting people through stress, anxiety, trauma, grief, and major life changes.

Background and approach

She blends a client-centered and holistic stance with practical, solution-focused work, drawing on a background that includes trauma-informed methods, somatics, and therapeutic yoga. Her LMHC credential signals formal training and licensure in the state of Washington.

Susan emphasizes collaboration, treating clients as the experts in their own lives while offering tools and psychoeducation to expand self-care and foster resilience. She weaves mindfulness, body-centered practices, and movement-based techniques into traditional talk therapy to address issues such as depression, ADHD, sleep concerns, caregiving stress, and recovery from abuse or neglect.

Sessions aim to be creative, growth-oriented, and grounded in real-world problem solving. Clients seeking a compassionate, experienced clinician who integrates mind and body approaches may find her style supportive and practical.

Therapeutic approaches and online care that fit your life

Susan frequently draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in her work. CBT focuses on identifying and shifting unhelpful thought and behavior patterns to reduce symptoms like anxiety and depression, while ACT emphasizes values-driven action and acceptance strategies to help clients move forward even when difficult feelings are present. Attachment-Based Therapy is also part of her toolbox and centers on improving emotional bonds and relational patterns that affect current wellbeing.

Finding the right approach is treated as a collaborative process; the therapist works with each person to explore which methods align with their goals, preferences, and life context. Together they consider practical skills, body-centered practices, and therapeutic pacing so the plan feels manageable and meaningful.

Online therapy offers flexible ways to engage, including video calls, phone sessions, live chat, and text-based messaging. These options can make it easier to fit sessions into a busy schedule, support consistent contact between meetings, and allow use of therapeutic methods like mindfulness and movement guidance in the setting where a person lives. Licensed professionals can adapt these formats to deliver relational work, cognitive strategies, and somatic techniques in ways that support progress over time.

Frequently asked questions

What kinds of 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, sleep and parenting difficulties, anger and self-esteem struggles, career transitions, bipolar disorder, compassion fatigue, and other life changes.

What therapeutic approach can I expect?

The practice uses client-centered, holistic methods that are collaborative and solution focused, and incorporates approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, and Emotionally-Focused techniques as appropriate.

How much experience does the therapist have?

She brings 30 years of professional experience offering therapy, psychoeducation, and body-oriented modalities such as therapeutic yoga and somatics.

What are the clinician's credentials and location?

The clinician is a licensed mental health counselor with the credential WA LMHC LH00006159 and practices in Washington.

Which languages are available for sessions?

Sessions are provided in English and the therapist is not accepting international clients at this time.

What session formats are offered?

Clients may engage through video calls, phone sessions, live chat, or text-based messaging depending on their needs and scheduling.

How much do sessions cost?

Cost varies with location and therapist availability; sessions are delivered via a subscription model that can be canceled at any time.

How do I begin working together?

To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Grief Depression ADHD

Also works with

Relationship issuesFamily conflictsSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Family of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacks PhobiasPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSomatizationTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyMindfulness TherapyMotivational Interviewing

Experience

30+ years

Licensed

Washington

Languages

English