Susan Csank , LISW

Susan Csank is a Licensed Independent Social Worker (LISW) based in Ohio with 23 years of experience. She offers a steady, practical approach for people facing stress, anxiety, mood concerns, addiction, trauma, and issues that often affect women. Sessions focus on clear goals and usable skills you can try between meetings.

Her work mixes client-centered listening with cognitive behavioral tools and mindfulness practices. That means she starts by hearing your experience, then helps you notice patterns and try small changes that can shift daily life. Motivational interviewing also informs her style, so she helps people find their own reasons to change.

Susan has a long background in both mental health and addiction settings, including individual and group formats. She has supported people dealing with codependency, family-of-origin problems, grief, and caregiver stress. She also addresses intimacy, self-esteem, career strain, and ADHD-related concerns.

In session she emphasizes education and practical coping skills. Conversations aim to be straightforward and compassionate, with concrete steps you can practice between sessions. She encourages clients to set realistic goals and to track small wins.

Susan offers video calls, phone sessions, live chat, and text-based messaging. Sessions use a subscription that can be canceled at any time. She speaks Estonian in addition to English and does not work with international clients.

How evidence-based approaches work online

Client-centered therapy focuses on listening and understanding your values and goals. The therapist reflects your experience and guides the conversation so you feel heard and can decide what changes matter most. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thoughts and behaviors and replace them with practical exercises and small, doable experiments. It is often used for anxiety, depression, and stress. Dialectical Behavior Therapy, or DBT, teaches emotion regulation, distress tolerance, and clearer communication. It can help when strong emotions or relationship conflicts get in the way of daily life.

Choosing the right approach is a collaborative process. The therapist will discuss your goals and try different tools to see what fits. Together you will adjust strategies based on what is helpful and what isn’t, so treatment reflects your needs and preferences.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to increase flexibility. Video is useful for face-to-face work and teaching skills, phone can work when bandwidth is limited, chat or messaging lets you send short check-ins or updates between sessions, and text can be a quick way to track progress. These options make it easier to fit therapy into a busy life while using the same therapeutic approaches as in-person care.