Profile / United States
Susan St Vrain, LMHC
Washington
Susan St Vrain, LMHC - Anxiety and Trauma
See online therapy options- CBT and ACT
- Somatic practices
- Mindfulness skills
About Susan
Susan St Vrain is a Washington state LMHC with 30 years of professional experience helping people manage stress, anxiety, grief, and major life changes. She lists work with mood concerns, attention differences, relationship strain, and trauma and abuse among her areas of focus. She also supports people dealing with career stress, caregiver strain, sleep problems, and compassion fatigue.
Her practice emphasizes clear, practical steps. Sessions tend to focus on noticing unhelpful thoughts and habits, trying different responses, and building everyday coping skills. She blends talk-based approaches with body-centered practices such as therapeutic yoga and somatic work when helpful.
Susan describes her style as client-centered and solution focused. She uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), attachment-informed methods, and Emotionally-Focused Therapy techniques. The aim is to help people make small changes that fit their daily life.
Her background includes trauma-informed work with adults and youth and teaching psychoeducation in mindfulness, movement, and somatic techniques. Those elements are offered to people who want to add body-based practices to their talk therapy. Sessions may include breathing, grounding, or movement exercises as part of skills-building.
People who prefer a practical, stepwise approach and who want options that include body awareness often find this style useful. To start, clients complete a short matching questionnaire and schedule an initial session to outline goals and plan next steps.
How CBT, ACT and attachment-informed work translate to online sessions
CBT focuses on identifying unhelpful thoughts and testing different responses. It uses concrete steps and behavioral experiments to reduce avoidance and increase useful habits, which is helpful for anxiety, depression, and sleep problems.Acceptance and Commitment Therapy (ACT) emphasizes noticing internal experiences without getting stuck on them. It focuses on clarifying values and taking small, values-consistent actions, which can help with stress, chronic worry, and life transitions.
Attachment-based approaches look at patterns in close relationships and how earlier experiences shape current reactions. They help people recognize interaction patterns and practice different ways of relating when emotions run high.
Choosing an approach is a collaborative process. The therapist will work with the client to decide which combination of CBT, ACT, and attachment-informed techniques fits the client’s goals and preferences. Progress is reviewed regularly and techniques are adjusted as needed.
Confirm the available session formats before booking since the biography does not list specific options. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins, and allow use of guided breathing or movement exercises that complement talk work. These practical benefits can help people keep consistent practice and apply skills between sessions.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she address most often?
Her work covers stress, anxiety, depression, grief, trauma and abuse, ADHD, relationship and family issues, sleep problems, and caregiving stress among other concerns.
How would you describe her therapeutic style?
She uses a client-centered, solution-focused approach that combines talk therapy with body-centered practices and mindfulness exercises.
How much clinical experience does she have?
She has 30 years of professional experience in mental health practice, including trauma-informed work with adults and youth.
What credential does she hold and where is she based?
She is a Washington LMHC and practices in the state of Washington.
Which languages are supported and are international clients accepted?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
Confirm current session options before booking, as formats are not specified in the biography.
How is cost handled for sessions?
Cost varies by location; sessions use a subscription that can be canceled at any time.
What are the first steps to begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.