Susan Keene

Susan Keene is a licensed clinical social worker with 18 years of experience. She brings a practical, down-to-earth style to sessions and focuses on helping people reduce anxiety, manage depression, and cope with major life changes. Her work often centers on clearer thinking and calming the parts of the brain that react automatically to stress.

Susan uses mindfulness practices alongside cognitive approaches to help people notice what’s happening in the moment. She pays attention to how self-talk and automatic reactions shape daily experience. When trauma is part of the story, she looks at how past events show up now and teaches exercises to soothe a triggered nervous system.

Susan has lived through many common life struggles and combines that experience with clinical training. She draws on intuition and elements from spiritual traditions she respects, while keeping therapy practical and nonreligious. Her aim is to help clients recognize their own worth and reduce self-blame.

Many people find starting therapy scary, especially when the goal feels like being “fixed.” She hopes clients approach the work with curiosity and patience. Progress usually involves small experiments, shifts in thinking, and practicing new skills between sessions.

To begin, readers should follow the site’s process to complete the short matching questionnaire and schedule an appointment. Susan prefers longer 45-minute sessions when the scheduling system allows, and she checks messages regularly except on Mondays or when ill.

How Mindfulness, CBT, and DBT Translate to Online Work

Susan combines mindfulness practice with cognitive behavioral ideas and elements of dialectical behavior therapy to help people manage difficult emotions. Mindfulness Therapy involves simple awareness exercises that help people notice thoughts and physical reactions in the moment, which can reduce reactivity and rumination. Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and actions and uses experiments and skill practice to change unhelpful thinking patterns. Dialectical Behavior Therapy (DBT) offers concrete skills for emotion regulation, distress tolerance, and clearer communication when emotions run high.

Choosing the right approach is part of the work. The therapist and client decide together which methods fit best based on goals, symptoms, and preferences. That collaborative planning can include trying a few techniques and adjusting as needed to find what helps most.

If you are considering online therapy, confirm the available session formats before booking since specific options are not listed here. Online work can make it easier to fit sessions into a busy week, allow for shorter check-ins when time is limited, and let people practice skills in their everyday surroundings. Licensed professionals can use these methods effectively over distance, and Susan aims to help clients integrate exercises and homework between appointments to support steady progress.