SK Portrait of Susan Keene

Susan Keene, LCSW

Calm thinking, clearer choices

18 years in practice · based in Utah · sessions in English · online sessions

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About Susan

Susan Keene is a licensed clinical social worker with 18 years of experience who centers therapy on cognitive behavioral methods. She focuses on helping people reduce anxiety, manage stress, and handle life changes by looking closely at everyday thoughts and reactions. Susan speaks plainly and keeps sessions practical, aiming to help clients notice patterns that increase suffering and experiment with alternatives.

Susan pays attention to how automatic reactions - what she calls the "animal brain" - can drive behavior.

Book with Susan Now Review online therapy options and next steps.

Background and approach

She invites clients to explore what is happening in the moment and to try exercises that calm an activated nervous system. This hands-on approach often includes observing self-talk and changing unhelpful thinking patterns. Her background includes long experience with depression, addiction, family conflict, trauma and grief.

Susan combines clinical training with life experience and a respect for spiritual perspectives without endorsing any religious view. She aims to help people who feel isolated, ashamed, or stuck find steadier footing. Susan uses practical skills from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Mindfulness Therapy to build coping tools.

Sessions commonly involve experimenting with new behaviors, practicing emotional regulation skills, and building clearer communication habits. She prefers 45-minute sessions and checks messages regularly except on Mondays or when ill. Prospecting clients are asked to review a disclosure form and try the site’s video session test before the first appointment.

Therapeutic approaches for online anxiety and stress care

CBT, or Cognitive Behavioral Therapy, focuses on noticing and changing unhelpful thoughts and behaviors. It helps people who have anxiety, low mood, or persistent worrying by teaching concrete tools to shift thinking and respond differently to stress.

DBT, or Dialectical Behavior Therapy, emphasizes skills for regulating intense emotions and improving how people handle interpersonal conflict. It is useful when emotions feel overwhelming or when someone struggles with anger, impulsive behavior, or relationship strain.

Mindfulness Therapy teaches simple attention practices that reduce reactivity and increase present-moment awareness. These techniques can lower rumination, ease anxiety symptoms, and help with coping during life transitions.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what feels most helpful. Together they try techniques, notice what works, and adjust the plan over time to fit changing needs.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video lets people read facial cues and try in-session exercises, phone calls work when bandwidth is low, chat can be a quick check-in, and messaging supports ongoing reflection between appointments. These options make it easier to fit therapy into work, family, and daily life while keeping care consistent.
Book with Susan Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does she address?
Susan works with stress, anxiety, depression, addictions, trauma and related issues like grief, intimacy problems, anger, and low self-esteem. She also focuses on communication problems, codependency, and social anxiety.
What is her therapy style like?
She uses a direct, practical style that emphasizes identifying unhelpful self-talk and testing new behaviors. Sessions often include exercises to calm strong reactions and skills practice.
How much clinical experience does she have?
She brings 18 years of clinical experience to her work and combines that background with lived experience of depression, anxiety, and addiction.
What credentials and location apply to this therapist?
She holds an LCSW credential and practices from Utah as an LCSW.
Which languages are offered and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
In what formats are sessions available?
Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.
How does payment or cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

What this therapist works with

Most often

Experience
18 years
Licensed
Utah
Languages
English

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