Anxiety Insights
SV Portrait of Susan St Vrain

Susan St Vrain, LMHC

Calm, experienced counselor focused on balance

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 with three decades of clinical experience in Washington. She focuses on helping people regain balance during stress, anxiety, grief, and major life changes. Her work is collaborative and practical, aimed at steady progress rather than quick fixes.

Susan uses client-centered techniques to guide conversations. She brings a calm, mindful presence and blends talk therapy with body-based tools when helpful. Sessions are geared toward clear goals and everyday skills that clients can try between meetings.

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

Background and approach

Her background includes trauma-informed approaches and long experience with mood and attention challenges such as depression, bipolar disorder, and ADHD. She also supports people managing caregiver strain, first responder stress, and the fallout of abusive experiences. Susan offers ways to cope with sleep problems, anger, low self-esteem, and work or career concerns.

Susan integrates somatic practices and therapeutic yoga into her work for clients who want a body-mind approach. Those methods are presented as options clients can choose to explore alongside talk-based strategies. She frames these tools as practical exercises for grounding, regulation, and self-care.

Clients who prefer a steady, respectful pace tend to fit well with her style. She emphasizes that therapy is a joint process where the client’s knowledge of their life matters. Susan aims to create a warm, nonjudgmental space to try new ways of relating to oneself and others.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on choosing actions that match personal values and can be helpful for anxiety, depression, and life transitions. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors and teaches clear skills to reduce worry, manage mood, and improve sleep.

Finding the right approach is part of the work together. Susan will talk with each person about goals and preferences and suggest methods to try. That decision is collaborative and may shift over time as needs change.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make care more flexible. Video calls allow face-to-face conversation and visual cues. Phone sessions can work when bandwidth is low or when someone prefers voice-only contact. Live chat and messaging are useful for short check-ins, homework support, or when writing feels easier than talking. These options let people fit therapy into work, family, and daily life while trying different approaches to see what helps most.
Book with Susan Now Review online therapy options and next steps.

Questions people ask

What concerns does she address?
Susan works with stress, anxiety, trauma and abuse, grief, depression, ADHD, bipolar disorder, and related life changes. She also focuses on caregiver issues, first responder stress, sleep problems, anger, and self-esteem.
What is her therapeutic style like?
Her style is client-centered and collaborative with a mindful, body-aware orientation. Sessions tend to be practical and goal-focused while allowing space for exploration.
How much experience does she have?
She brings 30 years of professional experience providing counseling and psychoeducation across a range of concerns.
What are her credentials and where is she based?
She is a Licensed Mental Health Counselor, WA LMHC, and practices in Washington State.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
She meets with clients by video calls, phone sessions, live chat, or text-based messaging depending on client preference.
How does cost and payment work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin the process?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

What this therapist works with

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Therapeutic approaches

Experience
30 years
Licensed
Washington
Languages
English

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