Susan Guerra, LCSW

Susan Guerra is a Licensed Clinical Social Worker with nearly three decades of experience. She focuses on stress, anxiety, depression, addictions, grief, self-esteem, relationship and intimacy concerns, and a wide range of life changes. She works with people who struggle with sleep or eating issues, parenting stress, career questions, and compassion fatigue. Sessions are offered in English, and she accepts international clients.

Susan uses practical tools from Cognitive Behavioral Therapy along with Acceptance and Commitment Therapy and client-centered listening. She also draws on Dialectical Behavior Therapy and Emotionally-Focused Therapy when those approaches fit a person's needs. In the first meetings she helps people identify the most pressing problems and sets clear, achievable goals together.

Her style is straightforward and compassionate. She avoids one-size-fits-all solutions and instead matches techniques to each person's situation. Sessions include talking, skill practice, and simple exercises that can be used between meetings.

Susan has worked in home health, hospice, psychiatric hospitals, outpatient clinics, residential substance-abuse programs, women's shelters, mental health centers, and schools. That breadth of settings informs her flexible approach to practical problems and crisis-related stress.

She emphasizes learning by doing so people can apply new coping strategies in daily life. Her goal is to help clients build realistic plans and steady steps toward a healthier, more functional life.

To begin, she asks people to describe what matters most to them and then helps map out small, concrete changes that add up over time.

How Susan’s Approaches Work Online

Susan commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in online work. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and changing them through practical exercises and behavior experiments. It is often helpful for anxiety, depression, stress, sleep and eating issues.

Acceptance and Commitment Therapy emphasizes noticing thoughts without getting stuck in them and clarifying values to guide action. It can help people cope with chronic pain, grief, life transitions, and ongoing emotional struggle. She also uses client-centered listening to create a calm, respectful space where people feel heard and can shape their goals.

Choosing an approach happens together. The therapist will discuss goals, try methods in-session, and adjust based on what helps most. That collaborative process makes it easier to find techniques that fit daily life and personal preferences.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is useful for face-to-face conversation and skill demonstrations, phone calls can be easier when bandwidth is limited, and chat or messaging works well for brief check-ins, homework review, or when someone prefers writing. These options help fit sessions around work, caregiving, travel, or other constraints while keeping therapy consistent.