About Susan
Susan Essich-Kruse is a licensed clinical social worker with two decades of professional experience. She is licensed in South Carolina and Massachusetts and draws on that background to help people facing stress, anxiety, depression, relationship strain, and parenting challenges. Susan starts by listening.
She treats each person as the expert on their own story and helps them notice strengths already in place. Sessions aim to turn overwhelming problems into practical next steps that feel doable.
Background and approach
Her work often focuses on life transitions and everyday pressures. She also supports people with concerns related to adoption and foster care, blended family issues, aging and geriatric matters, and mood changes. Communication difficulties, divorce or separation, and feelings of emptiness are commonly addressed in her sessions.
Susan uses approaches that center the client, bring mindful awareness into daily life, and consider how relationships and systems shape challenges. That mix helps when anxiety or stress come from ongoing routines, family roles, or repeating patterns. People meet Susan for clear guidance and quiet encouragement.
She offers conversation that is direct but warm, helping clients try small changes and notice what works. Taking the first step can be hard, and she aims to make each session a manageable part of that process.
Approaches that fit online care and daily life
Susan uses client-centered work and mindfulness in her online sessions. Client-centered therapy means she starts by listening closely and follows the client's lead to set goals. This helps people who want an empathetic, flexible space to talk through stress and relationship concerns.Mindfulness therapy brings simple attention skills into everyday moments. Clients learn brief practices to reduce worry, calm nervousness, and notice patterns that keep anxiety active. Systemic ideas are also part of her thinking - looking at how family roles, routines, and communication shape stress and coping.
Choosing the best approach is a collaborative process. She will discuss options and tailor methods to match each person's needs, goals, and preferences rather than using a single formula. That way the work feels relevant and usable outside sessions.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for different schedules. Video is useful for deeper conversation and visual cues, phone sessions work when bandwidth is limited, live chat and text are helpful for shorter check-ins or when someone prefers typing. These options make it easier to fit therapy into busy lives and to continue work consistently between appointments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Parenting issues
Also listed
Therapeutic approaches
- Experience
- 20 years
- Licensed
- South Carolina, Massachusetts
- Languages
- English
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