About Susan
Susan Epstein is a licensed marriage and family therapist with 19 years of clinical work. She practices in Oregon and focuses on helping people manage stress and anxiety. She also supports people facing grief, relationship strain, and shifts in self-esteem.
Her approach is direct and down-to-earth. She aims to make conversations feel calm and clear. Sessions are a place to say what’s on your mind and sort through practical next steps.
Background and approach
Susan pays attention to life transitions like divorce, midlife changes, and shifts in purpose. She helps people untangle guilt, shame, and loneliness so they can move forward. Many efforts focus on small, achievable changes rather than big overhauls.
She uses evidence-based therapeutic techniques that focus on skills and coping. Work may include learning ways to manage worry, improving communication in close relationships, and rebuilding self-worth. The pace and focus are set together with each person.
Susan supports emotional work around mood struggles, self-love, and women’s issues. Her aim is to help people feel more capable in everyday life. She encourages realistic goals and steady progress.
How evidence-based methods work online
Evidence-based therapeutic techniques are used to teach concrete skills and change unhelpful patterns. One common approach focuses on identifying and challenging anxious thoughts and replacing them with more realistic thinking to reduce worry and avoidance. Another practical method centers on skill building for emotion regulation and coping so people have tools to manage stress, mood swings, and grief reactions.Finding the best therapeutic method is part of the work. The therapist will talk with each person about goals and preferences and then try approaches that fit those needs. Treatment choices are collaborative and can be adjusted over time based on what helps most.
Online sessions give flexibility for people juggling work, childcare, or busy schedules. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a good fit when bandwidth is limited or a quicker check-in is needed. Live chat and text-based messaging provide short, ongoing contact and can help keep momentum between longer sessions.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
- Experience
- 19 years
- Licensed
- California, Oregon
- Languages
- English
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