- Mindful and body-centered
- Practical sleep strategies
- Collaborative approach
About Susan
Susan St Vrain is a Washington licensed mental health counselor (LMHC) with 30 years of experience supporting people through stress, anxiety, grief, and life changes. She brings a mind-body perspective and practical tools to sessions. Her work often addresses sleep concerns along with depression, trauma, ADHD, and caregiver stress.
She describes her approach as client-centered and collaborative. Sessions use a mix of talk work, mindfulness, and body-based practices such as therapeutic yoga and somatics. The goal is to help people notice what gets in the way of rest and find small, manageable ways to change daily routines.
Susan draws on methods from cognitive behavioral therapy and acceptance and commitment therapy to help people change harmful thinking and build values-based habits. Attachment-informed ideas and emotionally-focused techniques guide work on relationships and communication. Sessions are practical and focused on what people can try between meetings.
Her background includes many years doing psychoeducation around movement, meditation, and self-care. That experience shapes how she helps people manage sleep disruption, anxiety, and trauma symptoms without relying only on talk-based work.
People who do well with her style tend to want a collaborative process and tools they can use at home. She aims to create a warm, nonjudgmental space and to help clients take gradual steps toward better rest and clearer daily routines.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to small actions that match what matters to them; it can support changes in sleep routines and stress responses. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting thought and behavior patterns that keep problems in place, which is practical for anxiety, depression, and sleep difficulties. Attachment-Based Therapy brings attention to relationship patterns and how they affect emotion and rest, useful when sleep is affected by relationship stress.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and daily life. That choice can change over time as needs evolve, and the plan is adjusted together.
Confirm available session formats before booking, as formats were not specified in the biography. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time to appointments. It also lets people practice mindfulness and movement exercises at home without changing location. Ask about specific options when scheduling so sessions match practical needs and daily routines.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Credentials
Washington
Languages
English
Frequently asked questions
What concerns does she help with related to sleep?
She works with sleep problems alongside stress, anxiety, grief, trauma, ADHD, and caregiver strain. Sleep is addressed as part of broader daily routines and emotional health.
What is her therapeutic style in sessions?
Her style is client-centered and collaborative with a mind-body emphasis. Sessions mix talk, mindfulness, and body-based practices like therapeutic yoga.
How much experience does she have?
She has 30 years of professional experience offering mental health counseling and psychoeducation in movement and mindfulness approaches.
What are her credentials and where is she located?
She is a Washington LMHC and practices in Washington state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are not currently accepted.
How are costs and billing handled?
Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.