As a licensed therapist in Kentucky, I bring over three decades of compassionate clinical experience supporting individuals through life's complex emotional landscapes. My approach centers on creating a nurturing, non-judgmental space where clients can explore their deepest challenges and cultivate meaningful personal growth.
I specialize in addressing a wide range of emotional experiences, including depression, anxiety, trauma recovery, grief, and life transitions. My work particularly focuses on supporting individuals navigating self-love, communication challenges, isolation, life purpose, and healing from past emotional wounds.
My therapeutic style is deeply empathetic and tailored to each individual's unique journey. I have extensive experience working with diverse populations, including young adults, midlife individuals, veterans, and those managing complex emotional and interpersonal dynamics. My goal is to help clients develop resilience, self-understanding, and practical strategies for emotional well-being.
Through collaborative, evidence-based approaches, I aim to empower clients to reconnect with their inner strength, overcome barriers, and create more fulfilling, authentic lives.
Professional experience
36 yrs in practice
Stress, AnxietyTrauma, AbuseGriefDepressionADHD
Additional areas of focus: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
These quotes represent just a few of the many positive reviews that we have received for Susan St Vrain. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Best therapist on this app.
Written on Apr 09, 2026 after therapy with Susan for 2 weeks on issues concerning stress, anxiety, relationship issues, and grief
Susan is so wonderful to work with she is good about asking questions that get you to think and dig deeper. She has a calming voice and can be gentle yet firm.
Written on Mar 29, 2026 after therapy with Susan for 7 months on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, grief, coping with life changes, compassion fatigue, and adhd
Susan has helped me more than words could say, and I am eternally grateful for her! She has helped bring lightness to darkness.
Written on Mar 23, 2026 after therapy with Susan for 2 years and 8 months on issues concerning depression, stress, anxiety, grief, and coping with life changes
Susan is amazing! I cannot recommend her enough to anyone going through a major life transition. She is kind and attentive, and I always feel comfortable being open and vulnerable when we speak.
Written on Jan 23, 2026 after therapy with Susan for 5 months on issues concerning depression, stress, anxiety, self esteem, career difficulties, coping with life changes, compassion fatigue, and adhd
I love Susan
Written on Oct 24, 2025 after therapy with Susan for 1 year on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, self esteem, and coaching
Susan is a great listener and she asks the right questions. She is easy to talk to, provides positive and constructive feedback. I'm grateful for her insights.
Written on Oct 23, 2025 after therapy with Susan for 2 weeks on issues concerning depression, relationship issues, trauma and abuse, self esteem, and adhd
Wise, kind, thoughtful, present and engaged in each session. A+++ therapist.
Written on Oct 09, 2025 after therapy with Susan for 1 year and 10 months on issues concerning sleeping disorders
Just got my in person therapy scheduled with the VA. I appreciate everything Susan has done to help me get to a new starting point in my journey
Written on Sep 24, 2025 after therapy with Susan for 3 months on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, eating disorders, sleeping disorders, self esteem, anger management, coping with life changes, compassion fatigue, and adhd
Susan is great and very helpful at keeping me focused and helps me learn new potential ways to grow.
Written on Apr 12, 2025 after therapy with Susan for 1 year and 4 months on issues concerning stress, anxiety, grief, intimacy-related issues, self esteem, coping with life changes, and compassion fatigue
Susan is a beam of light! She offers such rich wisdom and thoughtful compassion to our sessions. I hope to continue under her guidance as a therapist for as long as I can. Additionally, I must note how quick Susan is able to pick out the important stuff and steer my often scattered thoughts into sound reasoning. Grateful to know this therapist! Highly reccommend.
Written on Mar 06, 2025 after therapy with Susan for 6 months on issues concerning stress, anxiety, relationship issues, family conflicts, intimacy-related issues, self esteem, anger management, career difficulties, coping with life changes, and coaching
Very easy to talk to and supportive
Written on Dec 06, 2024 after therapy with Susan for 3 weeks on issues concerning depression, stress, anxiety, self esteem, anger management, career difficulties, bipolar disorder, coping with life changes, coaching, compassion fatigue, and adhd
Susan always listens and shows that she truly cares. Its completely sincere and obvious where it would be quite easy to spot if she wasn't. She is very happy to give you direction and systems to help you with whatever you're going through. Many therapists give you a "feel-good" talk session and don't really give you many valuable tools or actual direction. She, however, is completely different than the vast majority.
She listens, acknowledges, gives simpathy and care when nessessary, and then directly addresses the issues with a plan. I truly appreciate everything she does and I'm so thankful that I have found her.
Written on Nov 09, 2024 after therapy with Susan for 1 year and 5 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, parenting issues, self esteem, bipolar disorder, coaching, and adhd
Susan St. Vrain is hands down the best therapist I have ever had! She is truly brilliant at helping me transform my behavior, my mindsets, and gently but firmly encourages me to look at situations from a new outlook. My life is completely changed.
My life has changed- so much so that I had to look back to remember the state of fear, frustration and hopelessness that I came to her in. She really helped me transform at the deepest level. My depression of a lifetime has lifted, I have better (not perfect) relationships with family, and I see a bright future for myself.
I highly recommend Susan. She's really amazing. I can't thank her enough.
Written on Aug 29, 2024 after therapy with Susan for 6 months on issues concerning stress, anxiety
She is incredible! My sessions with her are very insightful and helpful.
Written on Aug 13, 2024 after therapy with Susan for 1 year and 2 months on issues concerning depression, stress, anxiety, family conflicts, self esteem, and coping with life changes
Susan truly listens to me and is extremely insightful
Written on Jul 08, 2024 after therapy with Susan for 1 month on issues concerning stress, anxiety, self esteem, coping with life changes, and adhd
shes very helpful and great at listening. so far shes helped suggest tangible solutions and given me great guidance
Written on Jun 22, 2024 after therapy with Susan for 2 months on issues concerning depression, stress, anxiety, addictions, self esteem, and adhd
Susan had played a huge role in processing certain events that have happened in my life. She is very understanding and offers great exercises!
Written on Jun 17, 2024 after therapy with Susan for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, grief, self esteem, and coping with life changes
Wise and insightful. One of a kind. thank you Susan, for helping me walk the path.
Written on May 08, 2024 after therapy with Susan for 3 months on issues concerning addictions, relationship issues, coping with life changes, and adhd
Choosing a therapist is not a simple task. Susan couldn't be a better fit for me. I feel seen, heard and understood. I feel more grounded and present in my daily life than I have felt in a long time. Thank you, Susan, for helping me sort out the stew of my life so that each individual ingredient can be identified and tasted.
Written on Mar 04, 2024 after therapy with Susan for 10 months on issues concerning depression, stress, anxiety, relationship issues, and trauma and abuse
I’m very fortunate to have found Susan in the saddest and toughest part of my life, I was really broken down and she helped build me back up into something much more than I was before. She’s very thoughtful, responsive, a good listener, and provided great feedback and resources that I was able to use to learn about myself and how to better manage my emotions.
Written on Feb 14, 2024 after therapy with Susan for 6 months on issues concerning depression, relationship issues, intimacy-related issues, and anger management
Susan helped me think so much more clearly and rationally. I suffered from DV and nothing was the same afterwards. But Susan made each step of healing much more bearable, and I was able to stick to my healing routine to the point of liberation. I feel so much more confident with myself, and much happier in return for the knowledge that I can do whatever I put my mind to. Thank you so much Susan.
Written on Jan 01, 2024 after therapy with Susan for 5 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, grief, sleeping disorders, parenting issues, self esteem, career difficulties, coping with life changes, and adhd
She has been a great help in teaching me that a lot of my problems come from deeper places than I ever realized
Written on Aug 24, 2023 after therapy with Susan for 1 month on issues concerning depression, stress, anxiety, grief, and coping with life changes
I am very grateful for people like Susan. I have only tried therapy once before. I can already tell how much of an impact her work has already made on my ability to react to life’s challenges. I’ve always felt a little hopeless, insecure and chaotic. It feels great to understand myself more deeply and develop the tools to grow. Thank you Susan :)
Written on May 03, 2023 after therapy with Susan for 3 weeks on issues concerning depression, stress, anxiety, self esteem, coping with life changes, coaching, and adhd
Susan is amazing! This is my first time starting therapy and she makes me feel so comfortable and is great at addressing anything I want to work on and gives lots of ways to make it worth my time weather thats our phone calls once a week or sending me worksheets to help better understand myself!
Written on May 01, 2023 after therapy with Susan for 2 weeks on issues concerning stress, anxiety, and family conflicts
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