Susan St Vrain, LMHC

Susan St Vrain is a Washington licensed mental health counselor (LMHC) with three decades of experience. She helps people find balance during stress, anxiety, loss, and big life changes. Susan draws on long experience with trauma-informed care and supports people coping with ADHD, depression, grief, and relationship strain.

Her work is client-centered and collaborative. Sessions focus on practical steps, mindfulness, and body-based strategies such as somatics and therapeutic yoga. Susan describes the process as creative and solution-focused, and she invites clients to bring their goals and life context into the work.

Susan has a broad background delivering therapy and psychoeducation in movement, meditation, and somatic methods. That background is offered to people who want a body-mind approach to healing from abuse, neglect, or chronic stress. She also addresses caregiver strain, first responder issues, and family-of-origin concerns.

In the room she leans toward compassion and steady support. She encourages clients to experiment with skills and practices between sessions. The aim is to help people build routines that improve sleep, reduce anxiety, and strengthen coping for daily life.

Susan emphasizes collaboration and respect. She treats each person as the expert on their own life and works alongside them to find more balance and meaning. Her style tends to be warm, nonjudgmental, and focused on growth.

How her approaches shape online work

Susan uses Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy as key parts of her approach. ACT focuses on helping people notice difficult thoughts and choose actions that match their values, which can help with anxiety, stress, and life transitions. Attachment-Based Therapy looks at patterns of relating and can help people understand and change how they connect with others.

Finding the right approach is part of the work. The therapist will talk with the client about goals, needs, and preferences and decide together which methods make sense. That collaborative process lets sessions shift over time if different tools seem more helpful.

The biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when schedules are tight, and reduce travel time so clients can focus on skills and practice. Therapists and licensed professionals often combine talking, mindfulness exercises, and guided body-based practices in remote sessions to help with sleep, anxiety, trauma recovery, and building daily routines.