PuttingFamilyFirst

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SV Portrait of Susan St Vrain
Online therapist

Susan St Vrain

Compassionate, body-aware mental health care

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Credentials
LMHC
Experience
30 years
Licensed in
Washington
Languages
English
Format
Online sessions

About Susan

Susan St Vrain is a licensed mental health counselor in Washington with three decades of experience. She focuses on helping people manage stress, anxiety, grief, depression, ADHD, and life transitions. Her work emphasizes practical steps and creative problem solving so clients can feel steadier day to day.

Susan draws on a client-centered, body-aware style. Sessions often include mindfulness, movement, or somatic practices alongside talk therapy. She has long used therapeutic yoga and somatics to support people who want more embodied ways to cope with stress and trauma.

Background and approach

Her bedside manner is collaborative and respectful. She treats each person as the expert on their life and helps them set realistic, achievable goals. The aim is steady change rather than quick fixes.

In practice, Susan blends cognitive and acceptance-based tools with attachment-focused ideas. That mix helps with mood struggles, relationship patterns, and trouble sleeping. Interventions are adapted to what feels most useful for each person.

She also brings experience working with grief, caregiver stress, first responder issues, adoption and foster care concerns, and body image. Sessions can include coaching elements to support career or life change decisions. Her approach is flexible and tailored to the needs clients bring.

Susan’s long experience includes trauma-informed care and work with trauma, abuse, and neglect. She aims to create a warm, nonjudgmental space where clients can try new ways of relating to themselves and others.

Online approaches that combine mind and body

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without being ruled by them and choose actions that match their values. It can be useful for anxiety, depression, and improving motivation. Cognitive Behavioral Therapy (CBT) focuses on practical steps to change unhelpful thinking and behavior patterns, which often helps with mood, sleep, and stress. Attachment-Based Therapy looks at relationship patterns and how early connections shape current reactions; it can support people working on communication, trust, and emotional safety.

Susan treats finding the right approach as a shared task. She listens to each person's goals and preferences and then blends methods to match those needs. Clients help set the pace and choose which techniques feel most helpful in their daily life.

Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging, which makes it easier to fit therapy into a busy routine. These options offer flexibility for people who prefer talking face-to-face by video, need shorter check-ins via chat, or want the convenience of phone sessions. The variety of formats helps maintain continuity of care while adapting to changing schedules and needs.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Attachment-Based Therapy

Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.

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.

Frequently asked questions

What concerns does she address?
Susan works with a wide range of concerns including stress, anxiety, trauma and abuse, grief, depression, ADHD, sleeping problems, anger, self esteem, career issues, and compassion fatigue.
What is her therapeutic style like?
Her style is client-centered and collaborative, often combining talk therapy with mindfulness, body-centered practices, and solution-focused steps.
How much experience does she have?
She has 30 years of professional experience providing therapy and related psychoeducation.
What credentials and location information are listed?
She is a Licensed Mental Health Counselor with the Washington credential WA LMHC LH00006159 and practices in Washington.
In which languages are sessions offered?
Sessions are offered in English.
What session formats are available?
Sessions are offered as video calls, phone sessions, live chat, or text-based messaging.
How is cost handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin the process?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
30 years
Licensed
Washington
Languages
English

Next step

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