Susan St Vrain, LMHC

Susan St Vrain is a Licensed Mental Health Counselor (LMHC) practicing in Washington with 30 years of experience guiding people through stress, anxiety, trauma, and major life changes. She offers trauma-informed care for both adults and youth and combines traditional talk therapy with body-centered practices to support healing. Her training in somatics, therapeutic yoga, mindfulness, meditation, and movement therapy means she often blends mind and body techniques to help clients expand self-care and recover from abuse and neglect.

Susan describes her work as client-centered, holistic, and transformational. She uses evidence-informed approaches including Acceptance and Commitment Therapy, Attachment-Based methods, Client-Centered work, Cognitive Behavioral strategies, and Emotionally-Focused techniques to tailor treatment to each person. Her areas of focus include anxiety, depression, grief and loss, ADHD, relationship and family concerns, sleep difficulties, parenting challenges, anger, low self-esteem, career transitions, bipolar disorder, and coping with life changes. She also works with issues related to abandonment, adoption and foster care, attachment concerns, caregiver stress, codependency, communication and commitment problems, and first responder stress.

Susan approaches therapy as a collaborative journey that respects the client as the expert in their own life. She aims to create a warm, nonjudgmental environment that supports growth, practical coping, and greater balance. Those seeking a thoughtful, integrative approach to mental health are invited to begin the process when they are ready.

Integrating acceptance, attachment, and client-centered care online

Susan uses Acceptance and Commitment Therapy (ACT) to help clients identify what matters most to them and build habits that align with those values. ACT combines mindfulness and practical actions to address anxiety, depression, and life transitions by focusing on meaningful living rather than symptom elimination. Attachment-Based Therapy explores how early relationships shape current patterns of connection and emotion, helping people improve intimacy, repair relationship wounds, and address attachment-related struggles in adult relationships. Client-Centered Therapy emphasizes a respectful, empathetic stance where the therapist follows the client's lead and supports self-discovery and personal growth.

Finding the right therapeutic approach is part of the work and Susan treats that choice as a collaborative process. She will discuss different methods, listen to each person’s preferences and goals, and adapt strategies so therapy fits the individual rather than forcing a single model.

Online therapy with licensed professionals offers practical flexibility - sessions can take place by video call, by phone, or through live chat and text-based messaging. These options make it easier to maintain continuity of care around busy schedules, mobility limitations, or geographic constraints while preserving a consistent therapeutic relationship with a trusted therapist.