Susan St Vrain, LMHC

Susan St Vrain is a licensed mental health counselor (LMHC) in Washington with three decades of experience. She helps people find balance during stress, anxiety, and major life changes. Susan draws on a body-based, mindful style that blends talking with movement and breath work. Her background includes trauma-informed work with adults and youth and experience supporting people after traumatic brain injury. She also brings experience with ADHD in both men and women, somatics, and therapeutic yoga. Those threads often shape how she approaches sessions. Susan’s work is client-centered and collaborative. She invites clients to be the experts on their lives while offering tools and education. Sessions often mix practical strategies, breath and movement practices, and reflective conversation to help people manage symptoms and regain routine. She emphasizes a holistic, solution-focused process. That can include mindfulness and meditation, therapeutic yoga, and movement approaches when they fit a person’s needs. The goal is to help people build lasting self-care skills and healthier ways of relating to themselves and others. People who reach out can expect a warm, nonjudgmental space aimed at growth. Susan frames therapy as a shared journey toward more balance and fulfillment. To begin, she supports practical steps and small changes that add up to real differences over time.

How Susan’s approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without being controlled by them, then choose actions that match their values. It is useful for anxiety, depression, and navigating life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms and improve daily functioning. It often includes concrete exercises and homework between sessions. Attachment-Based Therapy looks at early relationship patterns and how they affect present connections, which can help with relationship concerns, grief, and attachment issues. Finding the right approach is part of the process. Susan collaborates with each person to see which methods fit their goals, needs, and comfort level. She tailors the mix of talk, mindfulness, and body-based practices so clients can try approaches and adjust as they go. Confirm session format options before booking to know what is currently offered. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when needed. It also supports continuing work on mindfulness, somatic exercises, and CBT tools between meetings. Talk with the therapist when you schedule to plan how movement or therapeutic yoga elements might be adapted for remote sessions.