Susan St Vrain, LMHC

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) in Washington with three decades of clinical experience. She helps people find balance during stress, anxiety, grief, and major life change. Her work is practical and down-to-earth, aimed at steady progress rather than quick fixes.

Susan uses a client-centered approach that keeps the person's goals in focus. She combines talk therapy with body-aware methods such as somatics and therapeutic yoga when clients want that option. Sessions are collaborative and solution-focused, with attention to everyday coping and self-care.

Susan describes therapy as a creative partnership where the client is the expert. She helps people try new ways of relating to themselves and others. The pace and methods are tailored to each person’s needs and preferences.

Her training in mindfulness, meditation, movement therapy, and therapeutic yoga offers additional tools for those who want a body-mind focus. This can be used alongside cognitive and emotion-focused strategies to support healing from abuse, attachment wounds, or ongoing life stress.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking meaningful action even when difficult feelings appear. It can help with anxiety, depression, and life transitions by teaching practical skills to shift behavior toward what matters. Attachment-Based Therapy looks at how early relationships shape present patterns and helps people change how they relate to others and themselves. This approach can be useful for attachment issues, relationship strain, and healing from abandonment. Client-Centered Therapy centers the session on the person's perspective, using empathy and listening to help people find their own solutions and build self-trust.

Finding the right approach is part of therapy. The therapist will collaborate with each person to pick methods that match their needs, goals, and preferences. That can mean combining ACT skills, attachment work, and client-centered listening to fit the situation rather than using a single method.

If you are considering online sessions, confirm the current session options before booking since formats are not specified here. Online work can make it easier to fit appointments into a busy life, allow shorter check-ins when schedules are tight, and let people choose sessions that match their energy level - for example, a talk-focused meeting or one that integrates movement or mindfulness exercises. Licensed professionals can adapt the approaches above to remote settings and will discuss what will work best for you.