Anxiety Insights
SV Portrait of Susan St Vrain

Susan St Vrain, LMHC

Seasoned counselor blending talk and body-based care

30 years in practice · based in Washington · sessions in English · online sessions

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About Susan

Susan St Vrain is a licensed mental health counselor in Washington with three decades of clinical experience. She focuses on helping people manage stress, anxiety, grief, depression, and major life changes. Susan brings a calm, practical style to sessions and values collaboration with each person she sees.

Her approach blends client-centered work with body-aware methods like therapeutic yoga and somatic awareness. She also draws on evidence-based talk therapies to address mood, attention differences, and trauma-related difficulties.

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

Background and approach

Sessions aim to be creative and solution-focused while honoring each person’s pace. Susan often helps people who are coping with relationship strain, caregiving stress, career transitions, and compassion fatigue. She also supports those dealing with abandonment, attachment concerns, body image, and identity issues that come from adoption or foster care experiences.

Over 30 years she has combined therapy with psychoeducation in mindfulness, meditation, movement, and somatic practices. That mix can be useful for people who want both talk-based tools and practical ways to regulate the body and emotions. Her style is warm, nonjudgmental, and growth oriented.

She treats clients as the experts on their lives and works together with them to set goals. Many people come seeking more balance and clearer ways to cope, and Susan frames therapy as a collaborative path toward that work.

How therapy approaches translate to online care

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings and commit to actions that match their values. It can help with anxiety, stress, and managing life changes by teaching practical skills for moving forward despite discomfort.

Cognitive Behavioral Therapy, CBT, focuses on identifying unhelpful thinking patterns and testing new ways of thinking and behaving. It is often useful for anxiety, depression, sleep issues, and problems with attention and mood regulation.

Susan will work with each person to find the best-fit approach. She discusses goals, preferences, and practical needs, and then tailors sessions so techniques and pacing align with what the client wants. That decision is collaborative and can combine talk-based tools with body-focused practices when helpful.

Online therapy offers flexible ways to access that work. Video calls allow face-to-face conversation and guided movement or mindfulness exercises. Phone sessions can be a simpler option when bandwidth is limited. Live chat and text-based messaging provide shorter check-ins, coaching-style support, and a way to stay connected between sessions. These options make it easier to fit therapy into a busy schedule and to try different formats to see what works best.
Book with Susan Now Review online therapy options and next steps.

Questions people ask

What concerns does Susan commonly address?
Susan works with stress, anxiety, trauma and abuse, grief, depression, ADHD, and related issues such as sleep disruption, anger, and low self-esteem.
How would you describe her therapy style?
Her style is client-centered and collaborative, combining talk therapy with mindful, body-centered practices and solution-focused work.
How much clinical experience does she have?
She has around 30 years of professional experience providing counseling and psychoeducation.
What are her credentials and where is she licensed?
She holds the LMHC credential and is licensed in Washington State as a Washington LMHC.
In what languages are sessions offered?
Sessions are offered in English.
Which session formats are available?
Sessions are available by video calls, phone sessions, live chat, and text-based messaging.
How does payment and cost work?
Cost varies with location and therapist arrangements; sessions use a subscription model that can be canceled at any time.
What is the first step to begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

What this therapist works with

Most often

Also listed

Therapeutic approaches

Experience
30 years
Licensed
Washington
Languages
English

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