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Susan Trefts

Susan Trefts, LCSW, LICSW

Therapist in Oregon

Compassionate listener who builds practical skills

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21 years of experience listed

LCSW, LICSW professional credentials

English languages

  • Client-centered approach
  • DBT skills focused
  • 21 years experience

About Susan

Susan Trefts is a licensed clinical social worker with 21 years of experience. She works with people struggling with stress, anxiety, trauma, grief, self esteem, and compassion fatigue. She encourages clients to use their own strengths to face hard moments and make changes that matter. Susan aims to make the first step feel more manageable and less lonely.

Susan practices in Oregon and brings a calm, respectful presence to sessions. She centers the person in the conversation, listening first and then helping shape practical steps forward. Many clients focus on rebuilding confidence, improving self-love, and coping after loss or difficult events.

Her approach draws on client-centered ideas that put the person's goals and values first. She also uses Dialectical Behavior Therapy skills to help manage intense emotions and improve day-to-day functioning. Sessions often include learning specific skills, trying small changes between meetings, and reviewing what works.

Susan supports work on body image, communication problems, forgiveness, guilt and shame, and finding life purpose. She also helps people dealing with post-traumatic stress and women’s issues when those concerns are present. Her style is practical and steady, aimed at building tools people can use outside the session.

People who choose Susan usually want a therapist who listens deeply and then collaborates on clear steps. She asks questions, reflects back what she hears, and helps clients make plans they can try between appointments. This blend of listening and skill-building is intended to make progress feel within reach.

Approaches that focus on strengths and skills

Client-Centered Therapy puts the person's goals at the center of sessions. The therapist listens closely, reflects what she hears, and helps people decide what matters most to them. This approach supports work on self esteem, life purpose, and improving relationships by following the client’s lead.

Dialectical Behavior Therapy, or DBT, teaches clear skills for managing intense emotions and reducing overwhelm. Practical techniques include emotion regulation, distress tolerance, and improved communication. These skills often help with anxiety, trauma reactions, and compassion fatigue by giving concrete tools to use day to day.

Finding the right approach is part of the work together. The therapist will discuss options and try methods that match the person’s needs, goals, and preferences. That process is collaborative and aims to balance listening with skill-building so clients feel involved in their own plan.

Session formats are not specified in this profile, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life by removing travel time and allowing appointments during workday breaks or evenings. It also makes it possible to focus on skill practice between sessions and to check in more often when needed.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefSelf esteemCompassion fatigue

Additional focus areas

Body imageCommunication problemsForgivenessGuilt and shameLife purposePost-traumatic stressSelf-loveWomen's issues

Therapeutic approaches

Client-Centered TherapyDialectical Behavior Therapy (DBT)

Experience

21+ years

Credentials

Washington, Oregon

Languages

English

Frequently asked questions

What concerns does Susan commonly help with?

She works with stress, anxiety, trauma and abuse, grief, self esteem, and compassion fatigue. Additional topics include body image, guilt and shame, and life purpose.

How would sessions typically feel and flow?

Sessions begin with listening to what matters most to the person and then focus on practical steps. Conversations include checking progress and learning skills to use between meetings.

What is her professional background?

Susan has 21 years of professional work experience in clinical social work. Her background includes supporting people through trauma, grief, and confidence building.

What credentials and region apply to this therapist?

Susan holds LCSW and LICSW credentials and provides services in Oregon. The listing notes licensure in both Oregon and Washington.

Are sessions offered in languages other than English?

Sessions are offered in English. International clients are not currently accepted.

What session formats are used for meetings?

Session formats are not specified here; please confirm current session options before booking so you know whether they meet your needs.

How is cost handled for sessions?

Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. Exact pricing depends on those factors.

How do I begin working with Susan?

Use the continue button on this profile, complete a short matching questionnaire, and then schedule based on the therapist's availability.

Susan TreftsContinue with Susan