Susan Frambes, LCSW

Susan Frambes is a licensed clinical social worker (LCSW) based in New Jersey. She has three decades of experience helping people manage depression, anxiety, stress, addiction, grief, relationship and family difficulties, and the effects of past trauma and abuse. She also supports concerns around self-esteem, career changes, eating and sleeping issues, and compassion fatigue.

Susan keeps language plain and direct in sessions. She listens first, then helps people notice unhelpful thoughts and habits. She uses practical exercises and steady conversation to build new patterns that fit daily life. Her approach aims to make small changes that add up over time.

Her work draws on client-centered methods, cognitive behavioral therapy, mindfulness, and trauma-focused techniques. That means she centers the person in the room, looks at how thoughts and behaviors interact, brings gentle attention to the present moment, and addresses the impact of traumatic events when they matter to the work.

Susan has long experience with people affected by domestic violence, stalking, and childhood abuse. She offers support for separation, divorce, family problems, and struggles with commitment or codependency. She also helps with aging-related concerns and loneliness related to family of origin issues.

Practical matters are part of her practice. She aims to respond to messages promptly and to tailor scheduling when possible. People who want straightforward, compassionate talk therapy often find her approach clear and usable.

Approaches that guide online work

Client-centered therapy focuses on the client's perspective and priorities. The therapist follows the person's lead, offers empathy, and helps people clarify what matters to them. This approach supports issues like low self-esteem, relationship concerns, and life transitions.

Cognitive behavioral therapy (CBT) looks at how thoughts and behaviors keep problems going. It uses practical exercises to test beliefs and build new habits. CBT is often helpful for anxiety, depression, stress, and some eating or sleeping difficulties.

Mindfulness therapy brings attention to the present moment in a gentle way. It helps people notice patterns of thinking and automatic reactions and can reduce reactivity to stress and difficult memories.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals, symptoms, and daily life. That choice can change as therapy progresses and as new issues come up.

Online therapy can make it easier to fit sessions into a busy week and to maintain consistent contact. Because specific session formats were not listed in the biography, confirm current options before booking. Many people find remote meetings useful for shorter check-ins, regular weekly sessions, or when travel would be difficult, and therapists adapt tools and exercises so they work well in an online setting.