Susan St Vrain, LMHC

Susan St Vrain is a Washington State LMHC (Licensed Mental Health Counselor) with 30 years of clinical experience. She works with adults facing stress, anxiety, trauma and abuse, grief, depression, ADHD, parenting strain, relationship and family concerns, and life transitions. Her practice emphasizes practical ways to cope when everyday life feels overwhelming.

Susan uses a client-centered approach that brings attention to both thoughts and bodily experience. Sessions often combine talk therapy with mindfulness, movement, somatic tools, and therapeutic yoga when appropriate. She frames therapy as collaborative work where the client’s perspective guides the process.

People who see her can expect direct, solution-focused conversations alongside body-centered practices. That might look like learning skills to manage anxiety, trying movement or breath practices to settle intense emotions, or reframing patterns that interfere with relationships and parenting. Susan aims to teach tools people can use between sessions.

Her background includes trauma-informed work with adults and youth, and experience providing psychoeducation in therapeutic yoga, somatics, mindfulness, meditation, and movement therapy. This informs how she helps people recover from abuse, neglect, or difficult medical and life events.

Susan places emphasis on practical strategies for daily life. She helps clients sort through family of origin issues, caregiver stress, codependency, communication problems, and decision points around career or commitment. She describes therapy as joint problem solving with clear steps and practices to try.

Her style is steady and pragmatic. Sessions focus on what is happening now, what patterns lead to struggle, and what specific changes would make daily life easier. Susan invites adults who want concrete tools and a body-aware approach to emotional work.

How her approaches translate to online work