- CBT strategies
- DBT skills
- Mindfulness work
About Susan
Susan MacDonald is a Rhode Island LMHC with 14 years of clinical experience. She works with people who are struggling with stress, anxiety, depression, relationship concerns, and self-esteem. She also helps with life changes and issues like codependency, communication problems, and feelings of emptiness.
Susan keeps sessions straightforward and focused on what matters to the client. She listens to each person’s concerns and helps them try practical ways to manage anxiety, navigate relationship problems, or rebuild confidence. She explains techniques in plain language and checks in about what is and isn’t helpful.
Her approach draws on Client-Centered Therapy to follow the client’s pace. She uses Cognitive Behavioral Therapy to identify unhelpful thinking patterns and DBT skills to teach coping skills for intense emotions. Mindfulness and motivational interviewing are woven in when clients want skills for staying present or finding motivation for change.
Susan has worked with many people over more than a decade, so she is familiar with the ups and downs that come with midlife shifts, separation, and grief. She helps people break problems into small, manageable steps and practices new skills together in session.
People who choose her tend to want clear, practical strategies and a conversational approach. The goal is to reduce overwhelming feelings and build everyday habits that support better coping and clearer decision making. Sessions are delivered in English and reflect her Rhode Island practice and background.
How Susan uses evidence-based approaches online
Client-Centered Therapy focuses on listening and pacing sessions around what the person brings each week, which helps when social situations feel difficult to talk about. Cognitive Behavioral Therapy (CBT) looks at thinking patterns and behaviors and suggests concrete exercises to try between sessions to reduce anxious reactions. Dialectical Behavior Therapy (DBT) offers short skills for handling intense emotions and improving communication under stress.Finding the right mix of these approaches is part of the work. The therapist will collaborate with each person to choose which methods to try first, adjust based on what helps, and set clear, practical goals together. This makes it easier to test modest changes and track progress over time.
Confirm current session formats before booking so you know the options that fit your life. Many people find online sessions easier to fit around work, reduce travel time, and allow for brief check-ins when needed. If you prefer step-by-step skill practice, CBT tasks and DBT skill coaching translate well to remote sessions and can be integrated into ordinary routines without requiring special equipment.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
14+ years
Listed in
Rhode Island
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, relationship problems, low self-esteem, and life changes. Additional focuses include codependency, OCD symptoms, panic, and trauma-related concerns.
What is her general therapeutic style?
Sessions are conversational and practical, blending Client-Centered listening with CBT and DBT techniques. She offers mindfulness and motivational interviewing when those approaches fit a person's goals.
How much experience does she have?
She has 14 years of professional work experience as a mental health counselor in Rhode Island.
What credential does she hold and where is she based?
She is a Rhode Island LMHC and her practice is located in Rhode Island.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are fees and payment handled?
Cost varies with location and services. Sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Use the See online therapy options button, complete the short matching questionnaire, and then schedule a first session.