Susan St Vrain

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) in Washington with 30 years of experience. She helps people find balance during stress, anxiety, loss, and major life changes. Her style is calm and collaborative, and she aims to make therapy practical and approachable for everyday life.

She blends mindfulness and body-centered work with client-centered counseling. That can include guided breath work, simple movement, and meditation practices alongside talk therapy. Sessions focus on what matters most to each person and build small, achievable steps toward change.

Susan’s background includes trauma-informed care and work with attention differences such as ADD and ADHD. She also brings experience in therapeutic yoga and somatics to support people who want a body-mind approach. This can help when emotional pain shows up as tension, sleep problems, or difficulty concentrating.

Her approach uses Acceptance and Commitment Therapy and cognitive-behavioral ideas to help people notice patterns and try new ways of coping. Attachment-based and client-centered methods guide how she listens and responds. Together these methods are used to address grief, relationship strain, career stress, compassion fatigue, and other concerns.

Susan describes therapy as a collaborative journey where the client is the expert. She aims to create a warm, nonjudgmental space and to work toward realistic, meaningful changes. To begin, she asks people to take a first step and reach out so they can schedule a time to talk.

How her approaches translate to online work

Susan uses Mindfulness Therapy to help people notice their present experience through simple practices like mindful breathing and short meditations. This approach can reduce reactivity to stress and improve attention in daily life.

She also uses Acceptance and Commitment Therapy (ACT) to help clients clarify values and take small committed steps toward them. ACT is useful for anxiety, depression, and life transitions because it focuses on actions that matter even when feelings are difficult.

Attachment-Based Therapy informs how she builds trust and explores relationship patterns. That work often looks at how early connections affect current reactions and communication. Together these methods offer options for addressing grief, trauma, and relationship struggles.

Finding the right approach is part of the process. She works collaboratively to decide which methods fit a person’s needs, goals, and preferences. Clients and therapist try things and adjust as needed, aiming for practical tools that fit everyday life.

If you are considering online sessions, confirm which session formats are currently offered before booking. Many people appreciate online therapy for fitting sessions into a busy schedule, avoiding travel time, and making it easier to keep regular meetings. Online work can be especially helpful for practicing mindfulness exercises, planning gradual behavior changes, and checking in between major life steps.