Susan Epstein , LMFT

Susan Epstein is a licensed marriage and family therapist with 19 years of clinical experience. She is based in Oregon and brings steady, practical support for people facing major life stresses. She focuses on women's issues alongside stress, anxiety, relationships, grief, and self-esteem concerns.

She helps people who are coping with life changes like divorce or a midlife transition. She also addresses feelings of guilt or shame, isolation or loneliness, and questions about life purpose and self-love. Her approach is straightforward and centered on what a person needs in the moment.

In sessions she creates an open space where clients can talk about thoughts and feelings without judgment. Conversations move at a comfortable pace and focus on small, manageable steps. She works with clients to identify patterns that cause distress and to try new ways of responding.

Susan draws on evidence-based therapeutic techniques to guide treatment decisions and tailors strategies to each person. Therapy can include short-term problem solving or longer work on self-worth and mood. She encourages practical tools people can use between visits to manage anxiety and stress.

Clients connect by video calls, phone sessions, live chat, or text-based messaging. Getting started includes a brief matching questionnaire and scheduling a first session based on the therapist's availability.

Therapeutic approaches and online care

Two evidence-based approaches commonly guide her work. One emphasizes identifying unhelpful thinking and testing new behaviors to reduce anxiety and improve mood; this method focuses on practical tools you can use between sessions. Another approach concentrates on working through grief and major life changes by naming emotions, making meaning of loss, and building day-to-day coping strategies to regain stability.

Choosing the right approach is part of the process and happens together. The therapist will talk with each person about goals, history, and preferences, then try methods that seem likely to help. If something doesn’t fit, the plan is adjusted collaboratively until it does.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy more convenient. Video lets people read facial cues and have a fuller conversation, while phone sessions can work when bandwidth is limited or a quick check-in is needed. Live chat and messaging are useful for short updates, journaling-style reflections, or when typing feels easier than speaking. These options help people fit therapy around work, caregiving, and busy lives.