About Susan
Susan Frambes is a licensed clinical social worker with thirty years of experience helping people facing trauma, addiction, anxiety, depression, and major life changes. She works with adults who are struggling with grief, relationship or family problems, self-esteem and career concerns. She also supports people coping with eating or sleeping issues and compassion fatigue.
Her approach is straightforward and practical. Sessions focus on the problems you bring and on steps you can try between meetings.
Background and approach
She uses client-centered conversations to understand your priorities and Cognitive Behavioral Therapy to spot unhelpful thoughts and test different responses. Mindfulness practices and trauma-focused work are used when they fit the issue at hand. Susan has worked for decades with people affected by abuse, stalking, and domestic violence.
She helps clients process past hurt, manage symptoms, and build daily routines that reduce distress. She also addresses abandonment, codependency, and communication problems that often follow difficult relationships. Sessions may include coaching-style check-ins, skill-building for stress and anxiety, and guided reflection on values and choices.
Her style is responsive and direct - she will suggest concrete strategies and adjust them to what feels doable. She aims to help people make small, steady changes that add up over time. Based in New Jersey, Susan speaks English and offers several online session formats.
Her work emphasizes clear goals, practical tools, and steady support while people work through painful experiences and life transitions.
Online approaches that fit your life
Client-Centered Therapy focuses on listening and understanding your priorities. The therapist helps you set goals and follows your lead while offering reflections that clarify what matters most. Cognitive Behavioral Therapy (CBT) looks at patterns between thoughts, feelings, and behaviors and teaches practical techniques to test and change unhelpful thinking. That approach is useful for anxiety, depression, and stress when you want tools you can use day to day.Finding the right approach is part of the work. Susan will talk with you about your goals, symptoms, and preferences and then suggest options. You and the therapist decide together which methods to try and adjust them over time based on what helps most.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to fit different needs. Video works well for fuller conversations and teaching skills. Phone can be easier when bandwidth is limited or for quick check-ins. Chat and text let you communicate between sessions or have short, focused check-ins when that is most useful. These options make it easier to schedule care around work, family, and daily life while keeping therapy consistent and practical.
Frequently asked questions
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Specialties and expertise
Top specialties
- Trauma and abuse
- Self esteem
- Career difficulties
Also works with
- Abandonment
- Addictions
- Aging and geriatric issues
- Body image
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- New Jersey
- Languages
- English