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SK Portrait of Susan Keene

Susan Keene

Practical CBT for clearer thinking and coping

LCSW Utah

Experience
18 years in practice
Focus areas
Stress, Anxiety, Relationship, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages
English
Continue with Susan

About Susan

Susan Keene uses cognitive behavioral therapy as the starting point for helping people shift patterns that contribute to suffering. She pays particular attention to self-talk and the habitual thoughts that often reinforce anxiety, depression, shame, and low self-esteem.

Background and approach

Her work combines clinical training with personal life experience to address common struggles such as relationship difficulties, addiction, trauma and abuse, grief, and coping with major life changes. In sessions she examines how automatic reactions and the brain's survival responses influence behavior, and she introduces practical exercises to calm reactivity and build new skills.

Susan also draws on Dialectical Behavior Therapy and mindfulness practices when they fit a client's goals, blending evidence-based techniques with intuitive and occasionally spiritual insights. With 18 years as an LCSW practicing in Utah, she guides clients through realistic, collaborative steps toward clearer thinking, improved coping, and a stronger sense of personal worth.

Evidence-Informed Approaches and Online Care

Susan commonly uses cognitive behavioral therapy to help people identify and change unhelpful thinking patterns and behaviors, which is useful for anxiety, depression, stress, and relationship difficulties. She also integrates dialectical behavior therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness when those skills match a client's needs.

Finding the right approach is collaborative; the therapist will work together with each person to determine which combination of CBT, DBT skills, or mindfulness practices best aligns with their goals, concerns, and preferences. This exploration can begin in early sessions and is adjusted over time based on what proves most helpful.

Online therapy with her is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These formats make it possible to access licensed professionals from home or elsewhere, accommodate busy routines, and continue work between live sessions through messaging and brief check-ins.

Frequently asked questions

What concerns does she commonly address?
Susan works with stress, anxiety, depression, relationship and intimacy-related issues, parenting challenges, addiction, trauma and abuse, grief, and many related concerns such as codependency and social anxiety.
What is her therapeutic approach and style?
Her practice centers on cognitive behavioral therapy with integration of dialectical behavior therapy and mindfulness techniques when helpful; she emphasizes practical exercises and attention to self-talk and automatic reactions.
How long has she been practicing?
She has 18 years of clinical experience as a licensed social worker, combining formal training with personal insights gained from life and practice.
What are her credentials and where is she based?
She is an LCSW licensed in Utah with licence number UT LCSW 312328-3501 and provides services from that location.
Does she conduct sessions in other languages or accept international clients?
Sessions are offered in English only, and she is not currently accepting international clients.
Which session formats are available with her?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How is cost handled for sessions?
Cost varies depending on location and therapist availability; sessions use a subscription model that can be canceled at any time.
What should someone do to begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes

Also works with

AddictionsFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementCompassion fatigueADHD

Additional focus areas

CodependencyCommunication problemsCoping with natural or human-caused disasterDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsIsolation / lonelinessLife purposeSocial anxiety and phobia

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness Therapy

Experience

18+ years

Licensed

Utah

Languages

English