Practitioner record · Checked 9 Oct 2026

Dr. Susan Gurvich has been in practice 25 years and is licensed in Texas. Dr. lists stress, Anxiety, LGBT and self esteem among 44 subjects on the BetterHelp roster.

Everything below is either quoted from Dr.'s own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

25years in practice
44subjects listed
8approaches listed

01 · Who Dr. works with

Dr. works with stress, Anxiety, LGBT and self esteem

Dr. lists 15 specialisms and 29 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • LGBT
  • Self esteem
  • Depression
  • Coping with life changes
  • Relationship issues
  • Family conflicts
  • Trauma and abuse
  • Grief
  • Intimacy-related issues
  • Anger management
  • Career difficulties
  • Bipolar disorder
  • Compassion fatigue
  • ADHD
Also experienced with
  • Abandonment
  • Aging and geriatric issues
  • Blended family issues
  • Body image
  • Caregiver issues and stress
  • Chronic pain, illness, and disability
  • Codependency
  • Communication problems
  • Family of origin issues
  • Family problems
  • Gender dysphoria
  • Guilt and shame
  • Hospice and end-of-life counseling
  • Immigration issues
  • Isolation / loneliness
  • Life purpose
  • Midlife crisis
  • Mood disorders
  • Multicultural concerns
  • Polyamory / non-monogamous relationships
  • Postpartum depression
  • Prejudice and discrimination
  • Self-love
  • Sexual assault and abuse
  • Sexuality
  • Traumatic brain injury
  • Women's issues
  • Workplace issues
  • Young adult issues

02 · In Dr.'s own words

What Dr. says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Welcome! If you are looking into Better Help, you are probably struggling with something significant in your life. Finding the right person to help you is essential. If you don't have a good relationship with your counselor, you won't make the progress you are hoping to achieve.

I would like to provide you with some information about me, in order to help you decide if my experience and style is the right match for you.

I am a licensed professional counselor with more than 30 years of experience in behavioral health. I have worked in both hospitals and outpatient settings, with people from all different backgrounds who struggle with a wide variety of challenges. Much of my experience has been working with people who are struggling with depression, anxiety, trauma, caregiving, relationship issues, polyamory, LGBTQ+ and gender issues.

Although it may be comforting to believe that a therapist “has it all together,” the truth is that therapists are people with their own challenges, on their own journeys, just as you are. I am still learning, making mistakes, and moving past them. However, from where I am on my path, I hope to be able to see things on your path that you are unable to see, such as obstacles you are facing and alternatives you could try.

I will treat you with sensitivity, respect, and warmth; first of all by getting to know you as a person, since you are the expert on your own life. You can expect me to walk with you through whatever difficulties you are facing and help you learn more about yourself and the way you interact with the world. Together, we can come up with goals and solutions that are going to work for you.

I can work with you in whatever manner you are most comfortable. I find it helpful to participate in video sessions so that we can read each other’s expressions and nonverbal cues, But I am also available to you via phone and text if that is more comfortable for you. I check messages at least once during each day.

Seeking therapy is not an easy decision to make. I know how hard it can be to find a counselor who you feel a connection with and I would be honored to work with you through this stage of your life.

Dr. Susan Gurvich, on the BetterHelp listing · read 9 Oct 2026

03 · How Dr. works

The 7 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'s - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Dr. runs a session.

Acceptance and Commitment TherapyACT
Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Motivational InterviewingMI
A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.
Narrative Therapy
Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Also listed

  • Hypnotherapy

04 · What happens next

From this page to a first session

Dr. practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Dr.'s own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Dr. at this point.

  2. Naming Dr. specifically

    BetterHelp matches algorithmically by default, so asking for Dr. is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Dr..

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Dr.

Built from what Dr. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dr.'s - Dr. has not seen them and is under no obligation to answer any of them.

  • “You list both Dialectical Behaviour Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

    Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “With 25 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential
LPC
Licensed in
Texas
Licence
TX LPC 10180
Licence number
10180
Licence expires
28 Feb 2027
NPI
1538731591
Years in practice
25
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'s name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Dr.. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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