Susan St Vrain, LMHC

Susan St Vrain is a Washington state licensed mental health counselor (LMHC) with three decades of clinical experience. She focuses on helping people regain balance during stress, anxiety, and life changes. Her work draws on a practical, body-aware approach that connects movement, breath, and talk. Her background includes trauma-informed work with adults and youth and experience supporting people through grief, depression, and traumatic brain injury. She also brings long experience with ADHD, caregiving strain, and compassion fatigue. Those facing career shifts, relationship struggles, or challenges tied to aging and geriatric issues can expect grounded, down-to-earth help. Sessions are client-centered and collaborative. She blends Acceptance and Commitment Therapy, cognitive behavioral ideas, and emotionally focused techniques with somatic practices and therapeutic yoga. The result is a flexible mix of skills work, reflective conversation, and body-based exercises suited to each person's needs. Susan describes therapy as a creative, solution-focused journey. She treats clients as the experts on their lives and helps them test new ways of coping, communicating, and relating. Practical tools and small experiments are common parts of the work. Her style aims to be warm and nonjudgmental while staying goal-oriented. People who want both talk therapy and embodied, mindfulness-based practices may find her approach especially useful. To begin, readers should confirm current session options before booking.

Approaches that combine talk and body-based work

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values. It is useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on practical skills to change unhelpful thinking and behavior patterns and can help with mood, sleep, and ADHD-related challenges. Attachment-Based Therapy pays attention to how early relationships shape current bonds and can be helpful for communication, trust, and relationship concerns. Finding the right approach is part of the work. Susan collaborates with each person to choose methods that match their goals and preferences. She checks in regularly and adapts techniques, mixing talk-based tools with mindfulness and somatic practices when that fits the client's needs. Confirm session formats before booking, as current options are not listed here. Online therapy can make it easier to fit regular sessions into busy lives, reduce travel time, and allow short check-ins during a work break. It also lets people try approaches that combine conversation with guided breathing or movement exercises without rearranging their whole day. If you want to explore how these methods might work online, confirm the available session formats and schedule a first meeting to discuss what would help most.