Susan St Vrain, LMHC

Susan St Vrain is a Washington state LMHC with 30 years of experience supporting adults through stress, anxiety, loss, and life changes. She works with people facing trauma, ADHD, relationship struggles, grief, and caregiving strain. Susan brings a long history of clinical work that includes trauma-informed care and therapeutic yoga and movement.

Susan uses client-centered and body-informed methods. Sessions often combine conversation with breath work, somatic practices, or simple movement when clients want that. She frames therapy as a collaborative process and treats the person in front of her as the expert on their life.

Her style is practical and solution-focused. She helps people learn skills for managing anxiety, mood shifts, sleep problems, and the stress of parenting or caregiving. She also supports people dealing with abandonment, attachment, and codependency concerns.

Susan draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to clarify values and change unhelpful patterns. Attachment-based and emotionally focused ideas guide work on relationship patterns and communication. Those approaches are mixed with mindfulness, somatic practices, and therapeutic yoga when appropriate.

Sessions cover short-term goals like calming anxiety or setting clearer boundaries, and longer-term work such as processing trauma or reorganizing daily routines. People who prefer a blend of talk and body-centered practices tend to find this approach useful.

Her practice aims to teach practical skills for coping with depression, bipolar mood challenges, anger, and career stress. Before booking, readers should confirm current session options and formats.

How Susan Integrates Approaches for Online Sessions