About Susan
Susan Yvette Underwood is a Licensed Professional Counselor (LPC) with 20 years of clinical work. She focuses on helping people find steadier ground after trauma, improve self-esteem, and navigate major life changes. Her work often centers on LGBT concerns, eating and food-related issues, and building healthier coping skills.
Her sessions are collaborative and down-to-earth. She listens for patterns that drive anxiety, shame, or isolation and helps people try new ways of responding.
How Susan works
Communication skills, self-compassion, and practical strategies are regular parts of the work. Susan has long experience supporting people who face complex and overlapping challenges. Trauma, dissociation, domestic violence, and the effects of family-of-origin issues are among the areas she regularly addresses.
She also helps people who struggle with codependency, feelings of emptiness, or a midlife crisis. She is comfortable talking about sexuality and alternative sex culture, including BDSM and kink, and about health-related topics such as HIV and aging. Eating concerns and body-related struggles are addressed with sensitivity and a focus on behavior and meaning rather than blame.
Susan works with people in Arizona and offers sessions in English. She provides video calls, phone sessions, live chat, and text-based messaging to fit different rhythms and schedules. Her approach is to work together on goals and practical steps that make daily life feel more manageable.
What Susan works with
The areas below are the ones Susan selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- LGBT
- Trauma and abuse
- Eating disorders
Also listed
- Aging and geriatric issues
- BDSM, kink, and alternative sex culture
- Codependency
- Communication problems
- Coping with life changes
- Dissociation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Post-traumatic stress
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Arizona |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches and how they translate to online care
Evidence-based therapeutic techniques focus on clear goals and practical steps. One common approach is trauma-focused work that helps people process painful memories, reduce reactivity, and build coping skills for daily life. This approach suits issues such as post-traumatic stress, dissociation, and the aftermath of abuse.Another useful strand addresses eating and body-related concerns by examining patterns of behavior and the feelings that drive them. Sessions aim to replace shame and rigidity with doable changes around eating, routines, and self-talk, and to improve how someone responds to difficult emotions.
Finding the right approach is a collaborative process. The therapist and client review goals, preferences, and what has or hasn’t helped before. Together they try methods that match the person’s needs and adjust them over time based on what works in sessions.
Online formats - video calls, phone sessions, live chat, and text messaging - make it easier to fit therapy into busy lives. Video lets people read facial cues and practice communication skills. Phone calls can be simpler when bandwidth or comfort on camera is a concern. Live chat and text messaging offer brief check-ins, written reflections, and ongoing support between sessions.
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Common questions
What concerns does she address?
What is her therapeutic style like?
How much clinical experience does she have?
What credentials and location are listed?
Which languages and international options are available?
In what session formats does she work?
How does pricing work for sessions?
What do I do to begin therapy?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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