About Susan
Susan Keene uses cognitive behavioral therapy as the starting point for her work. She helps people notice how thinking patterns drive feelings and behavior. Susan is direct about self-talk and offers practical steps to shift unhelpful thoughts.
She has 18 years of clinical experience and holds a Licensed Clinical Social Worker (LCSW) credential. Susan pays close attention to what is happening right now in a person’s life. She looks at how past trauma may still be triggering reactions and offers simple exercises to calm an activated nervous system.
Background and approach
Sessions aim to make overwhelming reactions easier to manage rather than erase difficult feelings. Her background includes long experience with depression, anxiety, family conflict, and addiction. She draws on clinical knowledge, life experience, and sometimes spiritual ideas to support growth.
She is not religious but respects each person’s sense of meaning. Susan also works with grief, anger, compassion fatigue, intimacy issues, and challenges around parenting or relationships. She addresses communication problems, codependency, and the effects of isolation and loneliness.
Practical coping skills and clearer thinking are core goals in sessions. Therapy with Susan is collaborative and often involves homework and experiments between meetings. She prefers 45-minute sessions and checks messages most days except Mondays or when ill.
New clients are asked to review and sign a disclosure form and to try the platform’s video test before the first appointment.
Applying CBT, DBT, and Mindfulness Online
CBT focuses on how thoughts influence feelings and actions. In simple terms it helps people spot negative self-talk, test whether those thoughts are true, and try different responses to reduce anxiety or low mood. DBT adds skills for handling strong emotions and improving day-to-day coping through grounding and distress-tolerance techniques. Mindfulness therapy teaches present-moment noticing and gentle attention to reduce reactivity and build calm. Finding the right method is part of the work. The therapist will discuss which approach fits your goals and try different techniques together. Clients and therapist decide as they go whether to emphasize thought work, emotion regulation skills, or mindfulness practices. Online sessions make it easier to fit therapy into busy lives. Video calls let people meet face-to-face when they can be on camera, phone sessions work when bandwidth is limited, and live chat or text messaging suit short check-ins or people who prefer typing. These formats give flexibility for appointments during work breaks, for quieter check-ins, or for skill practice between sessions.Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Self esteem
Also works with
- Addictions
- ADHD
- Anger management
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Parenting issues
- Social anxiety and phobia
- Trauma and abuse
Therapeutic approaches
- Experience
- 18 years
- Licensed
- Utah
- Languages
- English