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) based in Washington with 30 years of professional experience helping people navigate stress, anxiety, trauma, grief, and major life changes. She brings trauma-informed training for both adults and youth and integrates psychotherapeutic methods with somatic practices to support healing from abuse, neglect, and other sources of emotional pain.

Susan's work blends client-centered and holistic perspectives with transformational goals. She draws on mindfulness, therapeutic yoga, movement therapy, and somatic techniques alongside talk therapy to offer a body-mind approach for those interested in expanding self-care and rebuilding balance. Her practice includes support for anxiety, depression, ADHD, relationship and family concerns, grief, sleep difficulties, caregiver stress, and other challenges that affect daily functioning and well-being.

Known for a collaborative, creative, and solution-focused style, Susan emphasizes that clients are the experts in their lives and that therapy is a cooperative process. As an LMHC - a licensed counselor trained to assess and treat mental health concerns - she aims to create a warm, nonjudgmental space that promotes growth. She is based in Washington and does not currently work with international clients. At this time she is not accepting new clients.

Online therapeutic approaches and flexible care

Acceptance and Commitment Therapy (ACT) helps people clarify their values and commit to actions that build a meaningful life, even when uncomfortable thoughts or feelings are present. It is often useful for anxiety, stress, and life transitions. Attachment-Based Therapy focuses on understanding patterns of connection and safety in relationships - helping clients repair and strengthen bonds that affect family, romantic, and caregiving relationships. Client-Centered Therapy emphasizes empathy, active listening, and collaboration so that the therapist follows the client's pace and priorities; it supports self-esteem, decision-making, and personal growth.

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

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for busy schedules, reduces travel time, and makes consistent care more accessible. These formats allow licensed professionals to provide continuity of treatment and to match communication styles to what feels most helpful for each client.

Frequently asked questions

How much experience does Susan St Vrain have?

Susan St Vrain has 30 years of professional experience providing mental health services.

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 provides therapy in English.

Where is Susan St Vrain located?

Susan is located in Washington.

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

Susan's practice supports video calls, phone sessions, live chat, and text-based messaging as ways to work together. Note that she is not currently accepting new clients, and she does not work with international clients.

Does Susan St Vrain work with international clients?

No. 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 a therapist. Depending on availability, you can then schedule your first session by phone, video call, live chat, or in-app messaging. Availability for sessions depends on the therapist, and Susan is not currently accepting new clients.

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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