Therapist profile
Susan St Vrain, LMHC
Washington
LMHC - Anger and Stress support
Continue with SusanKey details
- CredentialsLMHC
- LicenseLMHC, Washington / LH00006159
- NPI1902310790
- Experience30 years
- LanguagesEnglish
- LocationWashington
About
- Somatic practices
- Mindfulness and breath
- CBT and ACT tools
About Susan
Susan St Vrain is a Washington LMHC with 30 years of clinical experience. She works with adults facing stress, anxiety, grief, depression, relationship strain, parenting challenges, and anger. She also supports people managing ADHD, bipolar concerns, career pressure, and major life changes.
Susan emphasizes a body-aware approach. She integrates therapeutic yoga, somatic practices, and mindfulness alongside talk therapy. Sessions are described as collaborative and solution-focused, with the client guiding the pace and goals.
Her training includes trauma-informed methods for working with adults and youth, and she brings experience helping people heal from abuse and neglect. She often combines movement and breath practices with cognitive tools to reduce reactivity and build steadier responses to stress.
In practical terms Susan works to help people notice patterns, try small changes, and practice new habits between sessions. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy techniques alongside attachment-based ideas and emotionally-focused work when helpful.
People who prefer a mix of talk and body-centered work tend to find her approach useful. She frames therapy as collaborative coaching and clinical support, aimed at clearer communication, better boundaries, and calmer reactions. To begin, prospective clients complete a short matching questionnaire and schedule a first session through the site's booking flow.
How sessions work
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values. It is useful for anger that comes from feeling stuck or reactive. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and offers concrete skills to interrupt automatic reactions. It is often used for stress, anxiety, and anger management. Attachment-Based Therapy focuses on patterns in close relationships and can help people understand why certain interactions trigger strong responses.Choosing the right mix of approaches is a collaborative process. The therapist and client review goals, try different techniques, and adjust based on what helps most. That means practices might shift from more cognitive tools to more body-based work as progress is made.
Session formats are not listed in the biography, so confirm the current options before booking. Online work can make it easier to fit sessions into a busy week and to practice skills in real-world settings. Shorter check-ins can support momentum, while longer sessions allow time for breathwork and somatic exercises. The therapist will discuss what fits the client's schedule and preferences when arranging the first session.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Washington
Languages
English
Questions
Frequently asked questions
What kinds of problems does she address related to anger?
She helps with snapping, built-up resentment, and anger tied to stress, relationships, parenting, or past trauma.
What is her general approach in sessions?
Sessions combine talk therapy with body-centered tools like therapeutic yoga, somatic work, and mindfulness to reduce reactivity and practice new responses.
How much clinical experience does she have?
She has 30 years of professional experience, including trauma-informed work with adults and youth.
What credential does she hold and where is she based?
She is a Washington LMHC and practices from Washington state.
Does she provide sessions in other languages or to international clients?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
Confirm current session options before booking by using the site's matching steps, as session formats are not specified in the biography.
How are fees handled?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the booking flow.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is unsafe, use the crisis numbers.