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LMHC

Susan St Vrain, LMHC

  • Experience30 years
  • LocationWashington
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Susan

Susan St Vrain is a Washington-licensed mental health counselor (LMHC) with three decades of clinical experience helping people restore balance during periods of stress, loss, and life transition.

Background and approach

She has extensive training in trauma-informed care and blends somatic practices, therapeutic yoga, and mindfulness with more traditional psychotherapy techniques to address a wide range of concerns including anxiety, depression, grief, ADHD, and coping with major life changes. Her style is collaborative and client-centered, emphasizing creativity, practical solutions, and the client’s own expertise in their healing.

Sessions integrate body-focused work and evidence-based talk therapies so clients can explore emotional patterns, repair attachment wounds, and develop skills for regulation and resilience. Susan frames therapy as a growth-oriented process and aims to provide a warm, nonjudgmental space where people can uncover more satisfying ways of relating to themselves and others.

She offers multiple online session formats so clients can access care that fits their schedules and preferences, and she works to tailor approaches to each person’s goals and needs rather than applying a one-size-fits-all method.

Approach-focused online therapy that integrates body and mind

Acceptance and Commitment Therapy (ACT) helps clients clarify their values, accept difficult thoughts and feelings, and take meaningful action toward a more engaged life. It tends to be useful for anxiety, depression, and stress when people want practical ways to move forward despite discomfort. Cognitive Behavioral Therapy (CBT) identifies and adjusts unhelpful thoughts and behaviors to reduce symptoms and build coping skills; it is often applied for anxiety, depression, sleep difficulties, and mood regulation. Attachment-Based Therapy explores patterns in close relationships and how early attachment experiences shape current ways of relating, which can help with relationship difficulties, trauma recovery, and issues tied to trust and intimacy.

Finding the right therapeutic approach is a collaborative process. The therapist works with each client to assess needs, goals, and preferences and then tailors a blend of methods rather than relying on a single technique. Clients can expect ongoing discussion about what feels most helpful and adjustments over time to better fit their progress.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to make therapy more accessible and flexible. These formats let clients fit appointments around work, caregiving, or mobility needs while maintaining continuity of care. Licensed professionals can adapt interventions effectively across remote formats so clients can pursue healing and skills-building from locations that work for them.

Frequently asked questions

What issues does Susan commonly address?
Susan works with a broad range of concerns including stress, anxiety, trauma and abuse, grief, depression, ADHD, relationship and family issues, sleep difficulties, parenting challenges, anger, self-esteem, career concerns, bipolar disorder, and compassion fatigue.
How would you describe her therapeutic style?
Her practice is client-centered, holistic, and solution-focused, blending mindful, body-centered techniques with talk therapy to create a collaborative and transformational process.
How long has she been practicing?
She brings 30 years of professional experience providing psychotherapy and psychoeducation across a variety of clinical settings.
What are her credentials and where is she licensed?
Susan is licensed as an LMHC in Washington with the license number WA LMHC LH00006159.
Can sessions be conducted in other languages or with international clients?
She provides services in English and is not accepting international clients at this time.
What session formats are available for working together?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences and schedules.
How is cost handled for therapy with her?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepressionADHD

Also works with

Relationship issuesFamily conflictsSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Family of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSomatizationTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyMindfulness TherapyMotivational Interviewing

Experience

30+ years

Licensed

Washington

Languages

English

What Susan can help with

Susan St Vrain works with clients on stress and anxiety, trauma and abuse, grief, depression, and ADHD.

Susan works with clients experiencing stress, anxiety, and change.

Susan works with clients healing from abuse and neglect.

How Susan approaches therapy

Susan's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Existential Therapy, Hypnotherapy, and Mindfulness Therapy.

Experience and training

Susan is a Licensed Mental Health Counselor practicing in Washington.

Therapy style

Susan aims to support you in that process.