- Years in practice
- 18
- Credentials
- LCSW
- Licensed in
- Utah
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Self esteem
About Susan
Susan Keene is a licensed clinical social worker (LCSW) who uses cognitive behavioral approaches to help people change unhelpful thinking and reduce distress. She names thoughts and self-talk as central targets and prefers 45-minute sessions when possible. Her voice is straightforward and practical.
She looks at what is happening right now and how past hurts may still be shaping reactions. Sessions often include short exercises aimed at calming an activated nervous system.
Background and approach
The work combines practical tools with gentle curiosity about patterns that keep showing up. With 18 years of experience, she draws on clinical training and life experience dealing with depression, anxiety, addiction, and family conflict. She notices how isolation and self-criticism make things worse and focuses on small shifts that restore a sense of worth.
She is not religious but respects each person's sense of meaning. Susan uses cognitive behavioral techniques alongside elements of dialectical behavior therapy and mindfulness to teach skills for emotion regulation, distress tolerance, and clearer thinking. She may invite simple breathing or grounding exercises and worksheets that track thoughts and behaviors between sessions.
Practical matters are attended to early on. Clients sign a disclosure form, try a video session test if needed, and can use available platform classes and groups. Susan checks messages most days except Mondays or if she is ill, and she asks people to expect some real effort between sessions.
What Susan works with
Everything Susan lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Susan helps people with.
- Stress, Anxiety
- Relationship issues
- Self esteem
- Depression
- Coping with life changes
- Addictions
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Compassion fatigue
- ADHD
- Codependency
- Communication problems
- Coping with natural or human-caused disaster
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Isolation / loneliness
- Life purpose
- Social anxiety and phobia
Approaches Susan lists
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
CBT, DBT, and Mindfulness in Online Care
CBT focuses on identifying and shifting unhelpful thoughts and patterns. It uses simple exercises and homework to change how people react to stress, anxiety, and low mood. This approach is useful for parents dealing with overwhelm and repetitive negative self-talk.Dialectical behavior therapy teaches skills for regulating strong emotions and tolerating distress. It offers short, practical tools for staying calm during heated moments and improving communication. Mindfulness therapy brings attention to the present moment through breathing and grounding exercises that reduce reactivity and increase emotional balance.
Choosing the most helpful approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what feels doable, then try approaches together and adjust as needed. Clients are invited to notice what works and bring feedback to sessions.
Online therapy provides flexibility through video calls, phone sessions, live chat, and text messaging. Video sessions allow face-to-face conversation and screen-sharing for worksheets. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging make it possible to get brief coaching or check-ins between full sessions, which can help sustain new skills.
Questions people ask about Susan
What kinds of concerns does Susan address?
She helps with stress, anxiety, depression, addiction, grief, trauma and many relationship and life-change issues including parenting and self-esteem.
What is her therapeutic style?
She emphasizes cognitive behavioral work that looks at self-talk and thinking patterns, with DBT and mindfulness skills added for emotion regulation and distress tolerance.
How much clinical experience does she have?
She has 18 years of experience working with people facing depression, anxiety, addiction, family conflict, and related struggles.
What credentials and location are listed?
She is an LCSW licensed in Utah and practices under that credential in the state.
Which languages and international options are supported?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does pricing work for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What should I do to begin working together?
Click the Start Therapy button, complete the short matching questionnaire, and schedule a session according to the therapist's availability.
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