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- Client-Centered Therapy
- DBT skills work
- Grief and loss
About Susan
Licensed Clinical Social Worker (LCSW, LICSW) with 21 years of experience in Oregon. Susan Trefts focuses on stress, anxiety, trauma and abuse, grief, self-esteem, and compassion fatigue. She also addresses body image, communication problems, forgiveness, guilt and shame, life purpose, post-traumatic stress, self-love, and women's issues. Sessions are delivered in English.
Susan frames the person in front of her as the expert on their own story. She listens for strengths and practical steps clients can use between sessions. Conversations are straightforward and goal-focused, with attention to emotions, patterns, and real-life challenges.
Her work draws on client-centered therapy to follow what matters most to the client. She also uses dialectical behavior therapy (DBT) skills to manage intense emotions and improve coping. These methods are used to address anxiety, trauma reactions, grief, and relationship stressors.
Susan has two decades of clinical experience in multiple settings. That background informs brief skills work and longer therapeutic exploration depending on what a person needs. She honors progress that looks different for everyone and helps people set clear, manageable goals.
To begin, prospective clients use the site matching process to schedule a first session. Because session formats can change, confirm current options before booking. Fees vary with location and use a subscription that can be canceled at any time.
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How her approaches translate to online work
Client-Centered Therapy centers on listening to what the client says and following their priorities. Online sessions with this orientation focus on clarifying goals, exploring what matters most, and using conversation to surface strengths and options. This approach helps with grief, life purpose concerns, and self-esteem issues.DBT provides concrete skills for managing intense emotion, improving distress tolerance, and building better communication. In remote sessions these skills can be taught, practiced, and reviewed between meetings. DBT is often useful for anxiety, post-traumatic stress reactions, and patterns of strong emotional reactivity.
Finding the right approach is collaborative. The therapist will work with the client to decide which methods and pacing fit their needs, goals, and preferences. That choice can shift as progress is made or new issues arise.
The biography does not list specific session formats, so confirm current options before booking. Many people find online sessions easier to fit into work and family life, allow shorter check-ins when needed, and make it simpler to attend from different locations. Discuss format preferences during the matching and scheduling steps to align sessions with daily routines.
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Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
21+ years
Listed in
Washington, Oregon
Languages
English
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Frequently asked questions
What concerns does she work with?
Susan works with stress, anxiety, trauma and abuse, grief, self-esteem issues, and compassion fatigue. She also addresses related topics like body image and communication problems.
What therapeutic approaches does she use?
Her practice draws on Client-Centered Therapy and Dialectical Behavior Therapy (DBT). Sessions combine listening to client goals with practical DBT skills for emotional regulation.
How much clinical experience does she have?
She has 21 years of professional experience working in clinical settings. That experience shapes both short-term skills work and longer-term therapy.
What are her credentials and where is she based?
She holds LCSW and LICSW credentials and is licensed in Oregon. Sessions are conducted in English.
Does she work with international clients or non-English speakers?
Sessions are offered in English and international clients are not currently accepted.
What session formats are offered?
Session formats are not specified in the biography. Please confirm current session options before booking.
How are fees handled?
Fees vary with location and sessions use a subscription that can be canceled at any time. Exact cost depends on the client’s location.
How do I begin working with her?
Use the site button to view online therapy options, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.