Susan St Vrain , LMHC

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) based in Washington with 30 years of experience helping people navigate stress, anxiety, trauma, and major life changes. She draws on trauma-informed methods for both adults and youth and combines talk-based therapy with somatic practices such as therapeutic yoga, movement therapy, and mindfulness to support a whole-person approach to healing.

Her clinical work covers a broad range of concerns including anxiety, depression, grief and loss, ADHD, traumatic brain injury, sleep and parenting challenges, relationship and family issues, and caregiver stress. She also works with more specific focus areas such as abandonment, adoption and foster care, attachment issues, body image, codependency, and forgiveness. Susan integrates psychoeducation and movement-based strategies for clients interested in expanding self-care and recovering from abuse or neglect.

Practicing from a client-centered, holistic, and transformational stance, she emphasizes mindful, body-centered work and a collaborative, solution-focused process. Susan views each person as the expert in their own life and partners with them to discover more balanced and fulfilling ways of relating to themselves and others. Her practice aims to be warm, nonjudgmental, and growth oriented, supporting people as they take courageous steps toward change.

Therapeutic Approaches and Online Therapy Options

Acceptance and Commitment Therapy (ACT) helps people learn to accept difficult thoughts and feelings while identifying personal values and taking committed action toward a more meaningful life. It can be useful for stress, anxiety, depression, and coping with life transitions.

Attachment-Based Therapy focuses on patterns in relationships and early attachment experiences, aiming to improve connection, communication, and emotional regulation. This approach is often helpful for relationship concerns, family issues, abandonment or adoption-related struggles, and attachment difficulties.

Client-Centered Therapy emphasizes empathy, active listening, and the therapist's nonjudgmental support to help people gain self-understanding and confidence. It is well suited to work on self-esteem, coping with change, and finding personal solutions through a collaborative relationship.

Finding the right approach is part of the therapeutic process. Susan works collaboratively with each person to determine which methods align with their goals, needs, and preferences, and she adapts strategies over time as progress unfolds.

Online sessions offer practical flexibility - video calls, phone sessions, live chat, and text-based messaging make it easier to fit therapy into busy schedules and maintain continuity during life changes. Licensed professionals can provide the same therapeutic techniques through these formats, allowing people to access care in ways that feel most manageable and effective for them.