- Guilt and shame focus
- Grief and loss
- Self esteem work
About Susan
Susan Epstein is a Licensed Marriage and Family Therapist (LMFT) with 19 years of clinical experience and is licensed in California and Oregon. She works with adults facing stress, anxiety, relationship strain, grief, and questions about self-esteem and life direction. Her practice also addresses issues such as divorce and separation, feelings of guilt and shame, loneliness, midlife concerns, mood disorders, and women's issues.
She focuses on straightforward conversation and practical steps. Sessions are a place to talk through what’s on your mind and to sort out what feels most urgent. She helps people identify small changes that can reduce overwhelm and rebuild confidence over time.
Her way of working emphasizes openness and nonjudgment. She encourages clients to bring real-life situations into sessions so they can try different responses and notice what shifts. The therapist pays attention to how relationships, roles, and past experiences shape current feelings of guilt or shame.
For someone carrying regret or self-blame, she will listen, name patterns, and help clarify next steps. That might mean practicing different ways of speaking to yourself, testing a new boundary, or exploring what meaning a situation holds.
She asks people to think about which parts of life feel most strained before the first meeting. To begin, clients use the site’s questionnaire and then schedule an initial session. Fees vary by location and use a subscription that can be canceled at any time.
How her approaches translate to online work
Her practice emphasizes evidence-based techniques that help people change unhelpful thoughts and behavior patterns. One common approach focuses on identifying and testing thoughts that fuel guilt and shame, helping people notice patterns and try alternative, more balanced ways of thinking. This kind of work is useful for anxiety, self-criticism, and low mood.Another approach centers on behavioral changes and small experiments in daily life. That might include practicing new ways to set boundaries, testing short social interactions to reduce loneliness, or scheduling activities that shift mood. These practical steps are aimed at creating observable change between sessions.
Choosing the right approach is part of the therapeutic process. The therapist works collaboratively with clients to decide which techniques fit their goals, needs, and preferences. She checks in regularly and adjusts the plan when something isn’t helping.
Session formats are not specified in the biography, so please confirm current online options before booking. Online sessions can make fitting therapy into daily life easier by reducing travel time and allowing check-ins around work or family commitments. They also let people try a shorter or more frequent meeting rhythm when that suits their schedule.
Areas of expertise
Primary focus
Additional focus areas
Experience
19+ years
Listed in
California, Oregon
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She helps adults with stress, anxiety, relationship strain, grief, self-esteem, and coping with life changes. Additional focus areas include divorce and separation, guilt and shame, isolation, and midlife concerns.
How would she describe her therapeutic style?
Her approach is direct and conversational, focusing on practical steps and real-life examples. She encourages trying different responses in session to see what changes feel helpful.
How much clinical experience does she have?
She has 19 years of professional experience working with adults on a range of emotional and relational issues.
What are her credentials and where is she based?
She is a Licensed Marriage and Family Therapist (LMFT) licensed in California and Oregon and is located in Oregon.
Which languages are supported in sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are session costs handled?
Fees vary with location and sessions use a subscription that can be canceled at any time. Exact pricing is provided during the sign-up process.
How do I begin a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule an initial appointment through the platform.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.