Susan St Vrain, LMHC
Washington LMHC specializing in trauma-informed care
- Trauma and grief support
- Mind-body approaches
- 30 years experience
About Susan St Vrain
Susan St Vrain is a Licensed Mental Health Counselor (LMHC) practicing in Washington with 30 years of professional experience guiding people through stress, anxiety, trauma, and major life changes. She brings a trauma-informed perspective to work with both adults and youth, blending clinical skills with a mind-body emphasis that suits clients seeking holistic healing.
Susan’s clinical background includes expertise in anxiety, depression, loss and grief, life transitions, traumatic brain injury, ADD and ADHD for men and women, somatic practices, and therapeutic yoga. Her practice also addresses relationship and family concerns, parenting and caregiver stress, self-esteem, anger, sleep difficulties, career challenges, bipolar concerns, and compassion fatigue. She incorporates psychoeducation alongside therapeutic interventions to help clients expand self-care and recovery options.
Her approach is client-centered, collaborative, and solution-focused, drawing on mindfulness, body-centered methods, and a transformational orientation. Susan treats each person as the expert of their own life and partners with them to explore practical tools and new ways of relating to themselves and others. She aims to offer a warm, nonjudgmental environment that supports growth and resilience, and she integrates practices such as mindfulness, meditation, movement therapy, therapeutic yoga, and somatics for those interested in a body-mind approach to healing.
Susan’s clinical background includes expertise in anxiety, depression, loss and grief, life transitions, traumatic brain injury, ADD and ADHD for men and women, somatic practices, and therapeutic yoga. Her practice also addresses relationship and family concerns, parenting and caregiver stress, self-esteem, anger, sleep difficulties, career challenges, bipolar concerns, and compassion fatigue. She incorporates psychoeducation alongside therapeutic interventions to help clients expand self-care and recovery options.
Her approach is client-centered, collaborative, and solution-focused, drawing on mindfulness, body-centered methods, and a transformational orientation. Susan treats each person as the expert of their own life and partners with them to explore practical tools and new ways of relating to themselves and others. She aims to offer a warm, nonjudgmental environment that supports growth and resilience, and she integrates practices such as mindfulness, meditation, movement therapy, therapeutic yoga, and somatics for those interested in a body-mind approach to healing.
Areas of Expertise
Primary Focus
Also Specializes In
Relationship issuesFamily conflictsSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue
Additional Focus Areas
AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Family of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSomatizationTraumatic brain injuryWomen's issuesYoung adult issues
Therapeutic Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Existential Therapy Hypnotherapy Mindfulness Therapy Motivational Interviewing
Frequently Asked Questions
How much experience does Susan St Vrain have?
Susan St Vrain has 30 years of professional experience.
Is Susan St Vrain a licensed therapist?
Yes. She holds the credential LMHC, which stands for Licensed Mental Health Counselor. License details: WA LMHC LH00006159.
In which languages does Susan St Vrain provide therapy?
Susan St Vrain provides therapy in English.
Where is Susan St Vrain located?
She is located in Washington.
How can I work with Susan St Vrain as my therapist?
You can work with Susan St Vrain through video calls, phone sessions, live chat, or text-based messaging.
Does Susan St Vrain work with international clients?
Susan St Vrain does not currently work with international clients.
How much does therapy with Susan St Vrain cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches and Online Care with Susan St Vrain
Acceptance and Commitment Therapy (ACT) helps clients clarify their values and develop practical actions that create a meaningful life despite difficult thoughts or feelings. It is useful for stress, anxiety, depression, and coping with life transitions by focusing on committed action and psychological flexibility.
Attachment-Based Therapy examines patterns in close relationships and how early bonds influence current connections. This approach can help with relationship difficulties, family of origin issues, abandonment concerns, and building more secure ways of relating.
Client-Centered Therapy emphasizes empathy, warmth, and collaboration, allowing clients to direct the pace and focus of their work while the therapist provides support and reflection. It suits people looking for a respectful, growth-oriented space to explore identity, self-esteem, and life changes.
Finding the right therapeutic approach is part of the work itself. Susan St Vrain collaborates with each person to identify which methods best match their needs, goals, and preferences, adjusting the plan as progress unfolds.
Online therapy offers flexible ways to connect - video calls, phone sessions, live chat, or text-based messaging - making it easier to fit sessions into a busy life or to access care from different locations. Licensed professionals and therapists can adapt these options to provide consistent, accessible support aligned with each client’s routine and comfort.