Susan St Vrain, LMHC

Washington · 30 years in practice

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) in Washington with 30 years of clinical experience.

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 Licensed Mental Health Counselor (LMHC) in Washington with 30 years of clinical experience. She focuses on helping people regain balance during stress, anxiety, and major life changes. Sessions are collaborative and grounded in practical tools that people can use between meetings.

Her work blends talk therapy with body-focused practices. She draws on existential ideas to help people find meaning, Acceptance and Commitment Therapy to clarify values and actions, and attachment-informed work to improve relationships.

Background and approach

Cognitive Behavioral techniques are also used to address patterns that fuel anxiety and depression. Susan supports people facing grief, trauma and abuse, bipolar disorder, ADHD, sleep problems, parenting strain, career shifts, and compassion fatigue. She also helps with more specific concerns like abandonment, adoption and foster care issues, body image, caregiver stress, and family of origin wounds.

Her practice includes support for first responder stress and disruptive mood dysregulation disorder among other challenges. Her style is client-centered, mindful, and practical. She often incorporates therapeutic yoga, somatic awareness, and mindfulness exercises when clients want a body-mind approach.

Sessions aim to be creative and solution oriented, with an emphasis on what a person wants to change in day-to-day life. Susan frames therapy as a collaborative journey where the client is the expert on their life. She seeks to offer a warm, nonjudgmental space that encourages growth.

People who value both talk and movement-based work may find her approach a good fit.

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

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

Approach to Therapy Online and How It Helps

Existential Therapy looks at meaning, choice, and how people want to live. It helps when life changes, loss, or questions about purpose feel overwhelming and someone wants clearer direction. Acceptance and Commitment Therapy (ACT) teaches practical skills to notice thoughts and take value-driven action despite difficult feelings; it is useful for anxiety, depression, and coping with change. Attachment-Based Therapy focuses on patterns in relationships that shape how people give and receive support and helps people rework those patterns for healthier connections.

Finding the right blend of approaches is part of the work. The therapist and client decide together what methods fit current goals and preferences. Sessions begin with listening and practical planning, and the approach can shift as needs change so the client feels involved in choosing what helps most.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and visual cues, phone sessions can work better when bandwidth is limited, and live chat or messaging suit quick check-ins or people who prefer typed communication. These options make it easier to fit therapy into work breaks, caregiving schedules, or when travel would be difficult, while keeping therapy consistent over time.

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Questions people ask

What concerns does she address?

Susan works with stress, anxiety, grief, depression, trauma and abuse, bipolar disorder, ADHD, sleep problems, parenting strain, career issues, and compassion fatigue, among other concerns.

How would you describe her therapeutic style?

Her style is client-centered, mindful, and practical. She combines talk therapy with body-based practices and focuses on actionable steps clients can use between sessions.

What is her experience working with clients?

She brings 30 years of professional experience providing therapy and psychoeducation, including work with trauma, therapeutic yoga, somatics, and mindfulness approaches.

What credentials and region apply to her practice?

She is a Licensed Mental Health Counselor, LMHC, licensed in Washington State and practices in Washington.

Which languages are supported for sessions?

Sessions are offered in English only.

Can people outside the United States work with her?

She does not accept international clients at this time; sessions are provided to clients within the applicable region.

What formats are available for sessions?

Sessions may be conducted by video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.

How does cost and scheduling work?

Cost varies with location and therapist availability; sessions are billed through a subscription that can be canceled at any time. To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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