Dr. Susan Gurvich , LPC

Dr. Susan Gurvich welcomes people who are feeling overwhelmed by stress, anxiety, depression, relationship strain, or major life changes. She helps with a wide range of concerns including LGBTQ matters, grief, trauma and abuse, intimacy issues, career stress, ADHD, and compassion fatigue. Dr. Gurvich is based in Texas and practices as an LPC.

She draws on 25 years of work in behavioral health to guide conversations that are straightforward and practical. Sessions focus on what matters most to the person in front of her. She listens first, then helps set clear, realistic goals that match daily life.

Her style centers on acceptance and present-moment skills, along with client-centered support and mindful strategies. She uses techniques from Acceptance and Commitment Therapy and Dialectical Behavior Therapy to help people manage difficult thoughts and emotions. Hypnotherapy and mindfulness tools are available when they fit a person’s needs.

Dr. Gurvich emphasizes collaboration. Together with each client she uncovers patterns that get in the way and practices small changes that add up. Sessions often include skill practice, values clarification, and steps to improve communication and boundaries.

Online formats include video, phone, live chat, and text-based messaging to match different schedules and comforts. She checks messages at least once each day and aims to make sessions fit into busy lives. The approach is respectful and steady, with attention to practical next steps.

Therapeutic approaches and online care that fit your life

Dr. Gurvich uses Acceptance and Commitment Therapy to help people notice unhelpful thoughts and focus on values-based actions. ACT supports people who want to act toward what matters despite difficult feelings. She also uses Dialectical Behavior Therapy skills to teach clear techniques for emotion regulation, distress tolerance, and better interpersonal communication, which can help with intense mood swings, anger, or relationship strain.

Finding the right approach is a collaborative process. She will talk with each person about their goals, preferences, and how they respond to different techniques. Together they decide what to try first and adjust over time based on what is most helpful.

Online therapy is offered through video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video lets both people read facial expressions and nonverbal cues, while phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging work well for brief check-ins, momentary coping support, and when a person prefers writing over speaking. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping consistent progress.