Susan Keene, LCSW

Susan Keene is a Licensed Clinical Social Worker (LCSW) in Utah with 18 years of experience. She works with stress, anxiety, depression, relationship concerns, addiction, trauma, grief, and social anxiety and phobia among other issues. Susan focuses on what people are thinking and how those thoughts affect feelings and actions.

Susan uses cognitive behavioral approaches to look closely at self-talk and automatic thinking. She also brings elements of dialectical behavior work and mindfulness exercises to help calm a triggered nervous system. In sessions she often identifies patterns that maintain distress and then practices small, concrete skills to interrupt those patterns.

Her clinical work draws on long personal and professional experience with depression, anxiety, family conflict, and addiction. She may look at how past trauma is influencing current reactions and try exercises to reduce reactivity. Susan describes using practical tools alongside reflection and, when helpful, insights from spiritual traditions while remaining nonreligious.

Susan acknowledges that starting therapy can feel scary and that people sometimes hope for an instant fix. She frames therapy as active work that involves trying things between sessions. She prefers longer sessions when possible and encourages curiosity about the process rather than settling for a baseline level of misery.

To begin she asks new clients to read and sign a disclosure form and to complete the initial steps on the service used to schedule a first appointment. She also recommends exploring available orientation resources and testing video connections before the first session.

Approaches used in online sessions