Susan St Vrain, LMHC
Washington · 30 years in practice
Susan St Vrain is a Washington licensed mental health counselor with three decades of experience helping people find balance during stress and change.
License and registration
- LMHC, Washington
- LH00006159 · expires May 2026
- NPI
- 1902310790 · national provider identifier
- Years in practice
- 30
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Susan
Susan St Vrain is a Washington licensed mental health counselor with three decades of experience helping people find balance during stress and change. She blends talk therapy with body-centered practices to address anxiety, grief, depression, and life transitions. Clients can expect a collaborative process where their goals guide the work.
Susan favors a client-centered style that keeps the person's needs first. She uses Acceptance and Commitment Therapy and cognitive-behavioral ideas alongside somatic practices and therapeutic yoga.
Background and approach
Sessions are practical and aimed at small, doable changes rather than abstract theory. Her background includes working with trauma and related challenges such as abuse, attachment issues, and grief. She also supports people facing attention differences, career shifts, caregiver strain, and first responder stress.
Susan draws on movement, breathing, and mindfulness when those tools fit a client's preferences. The approach is collaborative and creative. Susan treats the client as the expert on their life and builds plans together.
Therapy may include short exercises, grounding practices, and structured talk to change unhelpful patterns. Susan aims to create a warm, nonjudgmental space for growth. She emphasizes practical self-care skills and ways to relate differently to difficult feelings.
The focus is on helping people develop more balanced, fulfilling ways of living and relating to themselves and others.
Focus areas and approaches
Everything Susan lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- ADHD
- Relationship issues
- Family conflicts
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Somatization
- Traumatic brain injury
- Women's issues
- Young adult issues
Approaches Susan names
- Hypnotherapy
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Online approaches that combine talk and body awareness
Many clients benefit from Acceptance and Commitment Therapy, which focuses on clarifying values and building small actions that match those values while learning to accept difficult feelings. This approach can help with anxiety, depression, and life transitions. Cognitive Behavioral Therapy offers structured ways to notice and change unhelpful thoughts and behaviors, useful for anxiety, sleep problems, and mood concerns. Hypnotherapy involves guided relaxation and focused attention to help access mental resources and reinforce new coping habits; some people find it useful alongside other methods for anxiety and habit change.Finding the right approach is part of the work. The therapist collaborates with each person to match methods to their needs, goals, and comfort level. Sessions can blend approaches over time so the treatment fits how the client prefers to learn and change.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face contact for movement or guided mindfulness work, phone sessions can be easier when bandwidth is limited or you want a simpler check-in, and messaging formats support short coaching notes or ongoing reflection between appointments. These options make therapy more flexible and easier to fit into a busy life.
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Questions people ask
What issues does this therapist commonly address?
Susan works with stress, anxiety, trauma and abuse, grief, depression, ADHD, relationship and family concerns, sleep problems, parenting stress, anger, self-esteem, career changes, bipolar disorder, coping with life changes, compassion fatigue, and related focus areas.
How would you describe the therapeutic style?
The style is client-centered and collaborative, mixing talk therapy with body-centered practices, mindfulness, and practical exercises aimed at everyday life changes.
What kind of experience does the therapist bring?
She brings 30 years of professional experience, including work with trauma-informed methods and psychoeducation in therapeutic yoga, somatics, and movement therapy.
What credentials and location should I know about?
Susan holds a Washington Licensed Mental Health Counselor credential (LMHC) and practices in Washington state.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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