Susan St Vrain, LMHC

Washington · 30 years in practice

Susan St Vrain is a Washington state Licensed Mental Health Counselor 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 Washington state Licensed Mental Health Counselor with 30 years of clinical experience. She focuses on helping people manage stress, anxiety, grief, depression, and life changes. Her work blends talk therapy with body-based practices for a practical, gentle approach.

Her background includes trauma-informed care and therapies that connect feelings and bodily experience. She brings methods drawn from Emotionally-Focused Therapy, Acceptance and Commitment Therapy, attachment-based work, client-centered practice, and cognitive behavioral therapy.

Background and approach

Sessions aim to be collaborative and solution-focused. Susan often combines mindfulness, meditation, somatic awareness, and therapeutic yoga with conventional talk therapy. That mix lets people learn tools they can use between sessions, like breath work, grounding, and movement to reduce tension and improve sleep.

She supports people dealing with ADHD, bipolar mood concerns, parenting stress, caregiver fatigue, career strain, and issues tied to attachment, abandonment, or family of origin. She also helps with coping after trauma, loss, or major life transitions. Susan’s style is warm and nonjudgmental.

She frames the client as the expert and works collaboratively to set goals. Her aim is to help people build practical skills and new ways of 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

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

Approaches that translate well to online therapy

Emotionally-Focused Therapy focuses on identifying and shifting emotional patterns that keep people stuck. It helps people name core feelings and create new ways of responding to strong emotions.

Acceptance and Commitment Therapy, or ACT, teaches practical skills for accepting difficult thoughts and committing to actions that match personal values. It is useful for anxiety, stress, and coping with life transitions.

Attachment-Based Therapy looks at how early relationships shape current patterns. It helps people recognize attachment needs and practice healthier ways of connecting and relating.

Choosing the right approach is a collaborative process. Susan will work with clients to decide which methods fit their goals, needs, and preferences. That means trying things, checking what helps, and adjusting the plan together.

Online sessions offer flexibility in how therapy happens. Video calls allow face-to-face conversation and demos of practices like breathing or gentle movement. Phone sessions can be easier when bandwidth is limited or for short check-ins. Live chat and text-based messaging are useful for brief support, coaching-style prompts, or keeping progress between sessions. These options make it simpler to fit therapy into a busy life while using the approaches described above.

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Questions people ask

What kinds of concerns does she address?

Susan helps with stress, anxiety, depression, grief, trauma and abuse, ADHD, bipolar mood issues, sleeping problems, anger, self-esteem, career strain, and coping with life changes.

How would you describe her therapeutic style?

Her approach is client-centered and collaborative, blending talk therapy with mindfulness, somatic practices, and therapeutic yoga to create practical skills people can use daily.

What is her professional background?

She has about 30 years of experience providing trauma-informed therapy and psychoeducation, and integrates movement-based methods alongside traditional psychotherapy.

Where is she licensed and based?

She is a Washington Licensed Mental Health Counselor (LMHC) and practices in Washington state.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are available?

Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.

How does pricing work?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

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