Susan Haynes-Carabello , LMHC

Susan Haynes-Carabello is a Florida-licensed mental health counselor with 25 years of experience. She focuses on stress, anxiety, trauma and abuse, low self-esteem, depression, and helping people cope with life changes. Her practice also addresses women's issues and related concerns such as isolation, caregiver stress, and grief.

Susan uses straightforward, practical work in sessions. She aims to create a validating, open space where thoughts and feelings can be shared without judgment. Conversations include skill building, emotion work, and steps you can try between meetings.

Her approach blends talking and active tools. She draws on client-centered methods to follow each person's lead. Cognitive behavioral techniques are used to help shift unhelpful thinking and behavior patterns.

Susan also brings emotionally focused and solution-oriented work into sessions. That means attending to feelings while looking for concrete ways to move forward. Mindfulness practices are offered to help people manage stress and build self-awareness.

Over a long career she has supported people through trauma, midlife shifts, end-of-life concerns, and recovery after disasters or brain injury. She helps veterans navigate post-traumatic stress and supports those facing seasonal mood changes or questions of life purpose. Her background includes extensive post-graduate study and a focus on practical strategies for everyday life.

Susan works with adults in Florida and accepts international clients. Sessions use a subscription model that can be canceled at any time and are scheduled to fit each person’s availability.

How her approaches translate to online therapy

Client-Centered Therapy focuses on following the person's lead, listening carefully, and creating space for honest description of feelings. Online this looks like conversations that prioritize what matters most to the client and adapt to their pace. Cognitive Behavioral Therapy (CBT) works by identifying unhelpful thoughts and testing small behavior changes to see what helps reduce distress. In remote sessions CBT often includes brief skill teaching, written exercises, and real-world homework that can be reviewed over video or text.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose or blend methods based on their needs, goals, and preferences. Sessions can start with one focus and shift as progress is made, and adjustments are discussed together rather than assumed.

Online formats offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a simpler option when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging make it easier to share thoughts between sessions and to fit therapy into a busy day. These options support regular access to care and make it easier to maintain continuity while juggling other responsibilities.