Susan Frambes, LCSW

Susan Frambes is a licensed clinical social worker with 30 years of experience. She helps people struggling with anxiety, depression, trauma and abuse, relationship and family concerns, grief, stress, addictions, and issues with sleep and eating. She works with adults facing life transitions, career stress, low self-esteem, compassion fatigue, and related concerns.

She uses straightforward, talk-based care tailored to each person. Sessions focus on practical steps to reduce symptoms and improve daily functioning. She often blends Cognitive Behavioral Therapy - CBT - with client-centered and mindfulness approaches. Trauma-focused work is used when past events continue to affect current life.

Susan has a long history helping adults who have faced childhood trauma, emotional or physical abuse, stalking, and domestic violence. She also has experience with addictive disorders and supporting people with disabilities and the stresses those situations bring. Her background gives her perspective on both immediate coping skills and longer-term recovery.

She offers flexible scheduling and keeps regular communication with clients between sessions. Some people choose video or phone sessions, while others prefer messaging or text-only check-ins. Susan adapts format and pace to what a person needs at the time.

Her style is direct, supportive, and goal-focused. She helps people identify unhelpful thoughts, try small behavior changes, and practice mindfulness to reduce reactivity. The aim is clearer thinking, calmer emotions, and more control over everyday life.

How Susan Uses Talk Therapy Online

Susan blends Cognitive Behavioral Therapy and Trauma-Focused Therapy to help clients manage current problems and recover from past harm. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which can reduce anxiety, depression, and stress. Trauma-Focused Therapy attends to the ways traumatic events affect day-to-day life and teaches coping skills to lessen trauma symptoms.

Finding the right approach is a collaborative process. Susan works with each person to choose methods that fit their goals and comfort level, adjusting techniques as progress is made. She discusses options, explains what to expect, and checks in often to make sure the work feels useful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when someone prefers not to use video. Live chat and text messaging let people check in between sessions or use a text-only format for brief updates and focused work. These options provide flexibility for busy schedules and different communication needs.