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Susan Trefts, LCSW, LICSW

LCSW supporting trauma, anxiety, and grief recovery
  • Trauma informed care
  • Anxiety and stress
  • Compassion fatigue focus

About Susan Trefts

Susan Trefts is a licensed clinical social worker with 21 years of professional experience, serving clients in Oregon and Washington. She holds LCSW and LICSW credentials - clinical social work licenses that reflect advanced training in therapeutic practice - and brings a calm, strengths-focused approach to helping people navigate stress, anxiety, trauma and abuse, grief and loss, and compassion fatigue. She also works with concerns related to self-esteem, motivation, body image, communication, forgiveness, guilt and shame, life purpose, post-traumatic stress, self-love, and women's issues.

Susan believes that each person is the expert on their own life and that existing strengths are central to healing and growth. She supports clients in building confidence, developing coping skills, and reclaiming a more fulfilling life, honoring the courage it takes to reach out for help. Her practice emphasizes empathy, practical tools, and collaboration, with the aim of guiding people through difficult transitions and toward clearer, more sustainable ways of managing emotional challenges.

Whether addressing immediate symptoms or exploring deeper patterns, Susan offers steady, compassionate support designed to meet clients where they are and help them move toward the goals that matter most.

Areas of Expertise

Primary Focus

Additional Focus Areas

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

Therapeutic Approach

Client-Centered Therapy Dialectical Behavior Therapy (DBT)

Frequently Asked Questions

How much experience does Susan Trefts have?

Susan Trefts has 21 years of professional experience.

Is Susan Trefts a licensed therapist?

Yes. She holds the credentials LCSW and LICSW. License details are OR LCSW L5658 and WA LICSW LW60906461.

In which languages does Susan Trefts provide therapy?

Susan Trefts provides therapy in English.

Where is Susan Trefts located?

Susan Trefts is located in Oregon.

How can I work with Susan Trefts as my therapist?

You can work with Susan Trefts through video calls, phone sessions, live chat, or text-based messaging.

Does Susan Trefts work with international clients?

Susan Trefts does not currently work with international clients.

How much does therapy with Susan Trefts cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Approaches and Online Care with Client-Centered and DBT Methods



Client-Centered Therapy focuses on creating a respectful, nonjudgmental space where the client leads the conversation and the therapist offers empathy and support. This approach helps people clarify their values, strengthen self-esteem, and explore life purpose by building on existing strengths.

Dialectical Behavior Therapy (DBT) combines skill-building in areas like emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness. DBT is helpful for managing intense emotions, improving relationships, and addressing patterns that contribute to anxiety, trauma responses, or compassion fatigue.

Finding the right therapeutic approach is part of the work. Susan collaborates with each person to identify which methods fit their needs, goals, and preferences, adapting techniques over time so treatment remains relevant and practical.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - provide flexibility for scheduling and make it easier to fit regular sessions into a busy life. These formats allow licensed professionals and therapists to deliver consistent care, maintain continuity between appointments, and offer timely support when life feels overwhelming.

Ready to start therapy with Susan Trefts?

Take the first step toward a better you.