About Susan
Susan Epstein is a licensed marriage and family therapist who has practiced for 19 years. She works with people facing stress, anxiety, relationship concerns, grief, and changes that shake daily life.
Background and approach
Her early focus is on helping people feel understood so they can start to make small, steady changes. She creates a calm space where clients can say what they think and feel without judgment.
Sessions are practical and direct, with time spent on tools to manage worry and build confidence. She also helps people sort through loss and the hard feelings that follow separation or life transitions.
Her approach balances listening with clear steps clients can try between sessions. That might include short exercises to reduce stress, ways to handle difficult conversations, or small habits that boost self-respect.
She pays attention to what’s getting in the way of forward motion and helps map a realistic path forward. Susan draws on nearly two decades of experience across California and Oregon to inform her work.
She aims to make therapy a straightforward process for people who are nervous about starting. Her style is warm and steady, focused on practical change rather than quick fixes.
People who reach out can expect a collaborative relationship that prioritizes goals they care about. The work is paced to suit each person’s needs, whether the focus is grief, relationships, midlife questions, or finding renewed purpose.
How evidence-based approaches translate to online care
Many clinicians use evidence-based therapeutic techniques to help people manage symptoms and make concrete changes. One common approach is problem-focused work that looks at current stressors and teaches specific skills to reduce anxiety and improve daily coping. This kind of work is useful for people dealing with worry, mood shifts, and the fallout from life changes.Another helpful approach focuses on processing grief and difficult emotions by naming and sitting with feelings in a structured way. That method supports people who are moving through loss, separation, or guilt and want clearer steps to feel steadier over time.
Choosing the right approach is a team effort. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they decide which techniques to try and adjust the plan as needed based on progress and comfort.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules. Video works well for in-depth conversations, phone can be easier when bandwidth is limited, live chat suits brief check-ins, and messaging supports ongoing reflection between sessions. These options make therapy more flexible and easier to fit into a busy life.
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Grief
Also works with
- Experience
- 19 years
- Licensed
- California, Oregon
- Languages
- English