Susan Frambes , LCSW

Susan Frambes is a Licensed Clinical Social Worker (LCSW) based in New Jersey with 30 years of clinical experience supporting adults and families through difficult transitions and long-term challenges. She has worked extensively with people with disabilities and their families, individuals facing addictive disorders, and adults of all ages presenting with depression, anxiety, regret, and the lingering effects of childhood trauma. Her background also includes work with survivors of stalking and domestic violence, and she brings experience addressing grief, relationship and family issues, self-esteem and intimacy-related concerns, and stress related to life changes.

Susan blends cognitive behavioral techniques with insight-oriented and reality-focused approaches, along with supportive therapy, to create treatment that meets each person where they are. As an LCSW - a licensed clinical social worker trained to assess and treat emotional and behavioral health needs - she emphasizes practical strategies alongside empathic listening to help clients move toward meaningful change.

She makes a point of adapting communication methods to fit client preferences, including regular message responses and the option to work primarily by text when appropriate. Her practice is grounded in the belief that letting go of what holds someone back opens the way to forward movement, and she works collaboratively to support each person in that process.

Therapeutic Approaches for Online Care

Client-Centered Therapy focuses on creating a respectful, nonjudgmental space where the client leads the conversation and the therapist offers attuned support. This approach helps people explore their values, build self-understanding, and strengthen personal resources.

Cognitive Behavioral Therapy, or CBT, teaches practical skills to identify and shift unhelpful thinking patterns and behaviors. It is useful for managing anxiety, depression, stress, and many everyday challenges by building concrete coping tools.

Trauma-Focused Therapy addresses the effects of past traumatic events with interventions that help process painful memories and reduce their hold on daily life. It can be especially helpful for those recovering from abuse, domestic violence, or childhood trauma.

Finding the right approach is part of the therapeutic process and is typically determined collaboratively. The therapist will work with each person to select and adapt methods based on their goals, needs, and preferences so the plan fits the individual rather than the other way around.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into a busy life, maintain continuity during transitions, and access care from different locations while still working with licensed professionals and therapists who tailor treatment to each person.