Susan St Vrain, LMHC

Attachment-informed and evidence-based approaches online

Attachment-Based Therapy helps people notice how early relationship patterns affect current reactions and bonds. It supports people who want clearer emotional connection, steadier responses, and healthier ways of relating. Acceptance and Commitment Therapy (ACT) teaches practical ways to accept difficult inner experiences while committing to actions that match personal values; it is useful for anxiety, stress, and life transitions. Client-Centered Therapy focuses on listening and creating a nonjudgmental space where the person’s own goals guide the work.

Choosing the best approach is part of the work together. Susan aims to learn each person’s goals, preferences, and what has or has not helped before. She collaborates on a plan and adjusts methods over time so the approach fits the client rather than the other way around.

Online therapy makes it easier to fit sessions into busy lives. Video calls allow face-to-face conversation and demonstrations of breathing or movement exercises. Phone sessions can be a lower-bandwidth option when video is difficult. Live chat and text-based messaging support short check-ins, skill practice, and follow-up between sessions. These options provide flexibility for steady progress while juggling work, caregiving, and daily routines.