About Susan
Susan Keene is a Licensed Clinical Social Worker (LCSW) with 18 years of experience. She centers work around cognitive behavioral ideas and practical tools that change unhelpful thinking and reduce daily distress. Susan writes and talks plainly about problems so people can understand what happens in sessions and why certain exercises are used.
She focuses on common struggles such as stress, anxiety, depression, and attention differences including ADHD. Susan also helps people coping with grief, trauma and abuse, addiction, anger, and issues tied to family and relationships.
Background and approach
Her approach aims to identify negative self-talk and the automatic reactions that keep people stuck. Susan combines cognitive behavioral techniques with skills drawn from dialectical behavior therapy and mindfulness practices. In sessions she looks at what is happening now and how past experiences might still be shaping reactions.
She often offers brief exercises to calm a triggered nervous system and to build new, steadier habits of thinking and behaving. Her style is direct and compassionate. She encourages curiosity and steady effort rather than quick fixes.
Susan acknowledges how lonely life can feel and prioritizes showing people how to treat themselves with more care. Practical matters are discussed up front. She prefers 45-minute sessions and checks messages regularly except on Mondays or when ill.
New clients are asked to read and sign a disclosure form and to use the platform tools to schedule and prepare for the first appointment.
CBT, DBT, and Mindfulness in Online Sessions
Susan uses cognitive behavioral therapy to help people notice and change automatic thoughts that cause stress and low mood. That work often involves short exercises, thought records, and trying out new behaviors between sessions to see what changes.She also draws on dialectical behavior therapy skills to teach emotional regulation, distress tolerance, and better communication strategies. These tools can be useful for intense emotions, relationship conflicts, and situations that often lead to self-criticism or reactive behavior.
Mindfulness practices are offered to help slow down reactivity and increase present-moment awareness. Simple breathing and grounding exercises are used to calm the body and make it easier to use thinking skills when triggered.
Finding the right approach is a team effort. The therapist will discuss goals and preferences and then recommend a mix of techniques. The plan can change as progress is made and as different needs emerge.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for a full face-to-face conversation, phone works well when bandwidth is limited, live chat allows quick check-ins, and messaging supports brief ongoing reflection between meetings. These options make scheduling easier and help therapy fit into a busy life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- Addictions
- ADHD
- Anger management
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Parenting issues
- Social anxiety and phobia
- Trauma and abuse
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Utah
- Languages
- English
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