Susan Merletti
Calm guidance for life changes
- Credentials
- LPCC
- Experience
- 39 years
- Licensed in
- California
- Languages
- English
- Format
- Online sessions
About Susan
Susan Merletti is a California-licensed professional counselor, LPCC, with 39 years of clinical experience. She focuses on supporting people facing stress, anxiety, depression, relationship struggles, trauma, and health-related challenges like cancer and chronic illness. Susan believes most people already hold important strengths and that therapy helps put those strengths to work.
She frames the first step toward change as an act of courage and offers steady support during that process.
Background and approach
In sessions she listens closely and centers the person's own perspective. Conversations aim to clarify what matters most and to develop realistic steps forward. She uses straightforward techniques to address symptoms and practical problems, then revisits deeper life patterns when helpful.
Susan blends techniques from client-centered work and cognitive behavioral therapy to help people notice thoughts and habits that get in the way. She also draws on mindfulness to help manage overwhelming feelings. At times she explores life history and relationships to uncover patterns that repeat.
Her focus includes a wide range of concerns commonly tied to family and parenting issues, along with grief, intimacy, body image, and coping with major life changes. Sessions may address communication problems, codependency, and sexual assault recovery when those are part of a person's story. Susan offers sessions in English and provides a mix of contact styles to suit different routines.
She emphasizes collaboration - setting goals together and adjusting the plan as needs change.
Approaches that guide online sessions
Susan commonly blends client-centered work with cognitive behavioral techniques. Client-centered therapy means the session centers on the person’s perspective, with the therapist listening empathically and helping the client name goals. This approach is useful for building self-understanding and confidence.Cognitive behavioral therapy, or CBT, helps people notice and change thought patterns and behaviors that contribute to stress, anxiety, or depression. It often involves trying small experiments or new habits between sessions to reduce symptoms and improve daily function.
Finding the right approach is part of the work together. The therapist will talk with the person about goals, preferences, and what feels most helpful, then adjust methods over time. That collaborative stance helps the plan stay practical and responsive to change.
Online formats include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy family routines and to keep continuity when life gets hectic. The variety of formats also allows people to choose what feels most comfortable for sharing and practicing new skills.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Mindfulness Therapy
Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.
Frequently asked questions
What kinds of problems can be brought to therapy here?
How would sessions typically feel or proceed?
What is Susan's professional background?
Where is this practice based and what credential is held?
Which languages are available for sessions?
What session formats are offered for online work?
How does billing and cost work?
What steps should someone take to begin therapy?
Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- Addictions
- Anger management
- Body image
- Cancer
- Career difficulties
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- Family conflicts
- Family of origin issues
- Gender dysphoria
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- LGBT
- Life purpose
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Women's issues
Therapeutic approaches
- Experience
- 39 years
- Licensed
- California
- Languages
- English
Next step
Talk to Susan
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point