Susan Frambes , LCSW

Susan Frambes is a licensed clinical social worker (LCSW) in New Jersey with three decades of experience. She helps people facing anxiety, depression, trauma and abuse, relationship and family problems, grief, and struggles with self-esteem and body image. Her work also addresses addictions, stress, career concerns, and intimacy-related issues.

Susan uses a conversational style in sessions. She listens closely and helps people name what feels hard. Then she works with them to try practical steps to feel better and make change.

Her approach often draws on cognitive behavioral therapy, mindfulness, and trauma-focused ideas to help manage difficult thoughts and reactions. She also follows a client-centered way of working that keeps the person’s goals in charge of the process.

Susan has long experience helping adults who have lived with childhood trauma, emotional or physical abuse, stalking, or domestic violence. She has also supported people through life transitions and caregiving concerns related to aging and geriatric matters.

Sessions can be arranged to fit different schedules and communication preferences, including text-based messaging for people who prefer that style. She aims to respond to messages regularly and to make scheduling manageable for the person seeking help.

People looking to begin can expect direct talk, practical coping skills, and attention to daily life changes while exploring deeper sources of pain and hope.

Therapeutic approaches and how they work online

Client-centered therapy puts the person's goals and preferences first. The therapist listens closely, reflects what she hears, and helps people choose changes that fit their lives. This approach is useful when someone needs steady support while sorting priorities and options.

Cognitive behavioral therapy (CBT) focuses on the link between thoughts, feelings, and actions. It teaches practical skills to test and change unhelpful thinking and to build new habits for anxiety, depression, stress, or eating and sleeping problems. Trauma-focused therapy attends directly to reactions that follow traumatic events and uses strategies to reduce their hold on daily life.

Finding the right approach is a collaborative process. Susan will work with each person to pick methods that match their needs, goals, and preferences, and she adjusts plans as progress is made. The first sessions often focus on what feels most urgent and what methods seem most helpful.

Online formats make therapy easier to fit into a busy life. Video calls allow face-to-face conversation, phone sessions can be a simpler option when bandwidth is limited, live chat works for short check-ins, and text messaging supports people who prefer writing or need flexible check-ins. These options give practical flexibility so therapy can continue across different schedules and situations.