LMHC

Susan St Vrain , LMHC

Therapist in Washington

Online therapy - get matched and start messaging.

About Susan

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) practicing in Washington with 30 years of clinical experience helping people navigate stress, anxiety, trauma, grief, and life changes. She brings trauma-informed training for both adults and youth and integrates approaches that consider the whole person - mind, body, and lived experience. Her work addresses a broad range of concerns including anxiety, depression, loss and grief, traumatic brain injury, ADHD, sleep and caregiver stress, relationship and family challenges, and the aftereffects of abuse and neglect.

Susan's therapy style is client-centered, holistic, and transformational. She blends mindful, body-centered techniques with evidence-based psychotherapy to create practical, solution-focused work. Her background in therapeutic yoga, somatics, mindfulness and movement therapy allows clients who want a body-mind approach to expand self-care practices as part of healing and recovery.

Clients work with Susan in a collaborative process that honors each person as the expert on their life. She aims to create an open, warm, growth-oriented environment that supports exploration, skill building, and greater balance. Beginning therapy can take courage, and Susan is committed to supporting people as they pursue a more fulfilling and resilient way of relating to themselves and others.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters most and build practical skills to act in ways that reflect those values while learning to accept difficult thoughts and feelings. It can be useful for stress, anxiety, and navigating life changes. Attachment-Based Therapy focuses on patterns formed in early relationships and how they influence current connections - it supports work on attachment issues, relationship difficulties, and family of origin concerns. Client-Centered Therapy emphasizes respect for the client s own perspective; the therapist offers empathy and support while the client leads the pace and direction of their healing, which is helpful for building self-esteem and processing grief or trauma.

Finding the right approach is part of the therapeutic process. Susan St Vrain works collaboratively with each person to identify which methods fit their needs, goals, and preferences, and she adjusts the approach over time as progress and priorities evolve.

Online therapy offers flexible ways to engage with licensed professionals. Video calls approximate in-person sessions when visual connection matters, phone sessions add convenience, and live chat or text messaging provide options for shorter check-ins or people who prefer written communication. These formats make it easier to fit therapy into busy lives, maintain continuity of care, and access support from home or other locations.

Frequently asked questions

How much experience does Susan St Vrain have?

Susan St Vrain has 30 years of professional experience.

Is Susan St Vrain a licensed therapist?

Yes. She holds the credential LMHC, which stands for Licensed Mental Health Counselor. Her license details are WA LMHC LH00006159.

In which languages does Susan St Vrain provide therapy?

Susan St Vrain provides therapy in English.

Where is Susan St Vrain located?

She is located in Washington.

How can I work with Susan St Vrain as my therapist?

You can work with Susan St Vrain through video calls, phone sessions, live chat, or text-based messaging.

Does Susan St Vrain work with international clients?

Susan St Vrain does not currently work with international clients.

How much does therapy with Susan St Vrain cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the Start Therapy button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the Start Therapy button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepressionADHD

Also works with

Relationship issuesFamily conflictsSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Family of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSomatizationTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyMindfulness TherapyMotivational Interviewing

Experience

30+ years

Licensed

Washington

Languages

English

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