Susan St Vrain

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) practicing in Washington with about 30 years of experience. She helps people find balance when life feels overwhelming. Her work often focuses on stress, anxiety, grief, depression, ADHD, anger, and major life changes.

Her style is client-centered and collaborative. She brings a body-based perspective using mindfulness, somatics, and therapeutic yoga alongside talk therapy. Sessions aim to be practical, creative, and focused on solutions that fit each person’s life.

Susan has long experience working with trauma and related concerns. She blends cognitive and emotion-focused approaches with attachment-informed ideas to help people understand patterns and feel more connected to themselves. That can be useful for those dealing with relationship strain, caregiving stress, or histories of neglect and abuse.

Her background includes offering psychoeducation in therapeutic movement, meditation, and self-care practices. Those options are presented as tools clients can try, not as requirements. Work in sessions may combine skill-building, reflection, and movement-based exercises depending on what feels helpful.

Susan emphasizes collaboration. She treats clients as the experts on their lives and helps them set practical goals. People who want both talk-based strategies and body-focused techniques may find her approach a good match.

Approaches that combine talk and body-centered work

Acceptance and Commitment Therapy (ACT) invites people to notice thoughts and feelings without getting stuck in them and to commit to meaningful actions. It can help with anxiety, stress, and making life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical skills to shift unhelpful patterns. That approach is often used for depression, anxiety, and coping strategies. Attachment-Based Therapy focuses on relationship patterns and how early connections shape current ways of relating; it can help people improve communication and feel more secure in relationships.

Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan as progress is made.

Confirm current session options before booking to know which online formats are offered. Online therapy can make it easier to fit sessions into a busy life, shorten travel time, and let people use skills between meetings in their day-to-day routine. Some methods translate well to remote work, including mindfulness practice, skill-building from CBT, and talking through attachment patterns, while movement or somatic exercises can be adapted to suit each person’s situation.