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Suzanne
St. John Smith

You've carried this long enough. You know something needs to change. So let's begin.
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1.

Individual
Therapy

Life can feel overwhelming at times, and it’s not always easy to make sense of what’s going on inside. Individual therapy offers a safe, confidential space to explore your thoughts, emotions, and experiences at your own pace. Whether you’re struggling with anxiety, self-doubt, grief, or simply feeling stuck, our work together focuses on helping you gain clarity, strengthen self-awareness, and reconnect with your inner sense of direction. My approach is supportive, conversational, and grounded in compassion. You don’t have to figure it all out alone.

2.

Couples
Therapy

Some of our deepest wounds come from the people we love most. Whether you're caught in cycles of conflict, recovering from betrayal, or simply feeling invisible in your own relationship. You don't have to keep navigating it alone.

3.

Family
Therapy

Families are complex systems, and when one part of that system struggles, everyone feels it. Family therapy helps uncover the patterns that may be keeping the family stuck and encourages more compassionate ways of relating to one another. It’s not about assigning blame. Instead, it’s about understanding each person’s experience and finding ways to communicate and connect more effectively. I create a space where family members can listen, express, and begin to rebuild trust and connection together.

4.

Discussion Groups
for Women

Women’s discussion groups are powerful spaces for change because they offer something rare: a safe, supportive environment where women can speak openly and hear themselves more clearly. When there’s no pressure to perform or protect, real insight and self-awareness naturally emerge. At the same time, these groups provide the kind of peer support that dissolves isolation. Hearing other women’s stories helps participants feel understood, less alone, and more encouraged to make meaningful shifts in their own lives. Each woman’s growth strengthens the whole group, making it an ideal setting for both personal transformation and shared support.

About Suzanne

I'm Suzanne St. John Smith: psychotherapist, author, and someone who has done enough of my own work to know that change is genuinely possible at any age and any stage. For more than 21 years I've worked with individuals, couples, and families who are tired of their own patterns and ready to do something about it. I work from my office in West Vancouver and remotely across Canada. Wherever you are, if you're ready, I'm here.

I’m also a Family Enterprise Advisor (FEA), supporting business families as they navigate the intersection of relationships, governance, and legacy.

Areas of Focus

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Relationship Challenges

Relationships can be our greatest source of joy, and also our deepest source of pain. Whether you're navigating conflict, betrayal, disconnection, or the slow drift apart, this is a safe place to bring all of it.

Parenting Challenges

Parenting is one of the hardest things you'll ever do, and nobody hands you a manual. Whether you're struggling with a teenager, navigating a blended family, or trying to break cycles from your own childhood, we'll figure it out together.

Midlife Transitions

Midlife is often a time of deep reflection, a season of questioning where you've been and where you want to go. For many women, when children leave the nest or careers shift, a profound "what now?" emerges. Together we'll explore the emotional, relational, and identity shifts that arise during this phase.

Grief & Loss

Grief is a deeply personal experience. There’s no “right” way to move through it. I provide a safe and compassionate space to process your loss, honor your emotions, and find gentle ways to integrate your grief as you begin to heal and rebuild meaning in your life.

Depression & Anxiety

When everything feels heavy or your mind won't quiet down, it's hard to imagine feeling any other way. But these states aren't permanent; they're signals. Together we'll learn to read them and find a way through.

Self-Esteem & Personal Growth

Most of the beliefs that hold us back were formed before we were old enough to question them. You've been carrying someone else's story about who you are. Let's find out what's actually true.

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Childhood Myths: What They Are and How To Shed Them

This is a book for anyone who carries negative beliefs, or myths, about themselves. For the majority of us, our myths were absorbed during our early years, and many became so deeply rooted within us that, in adulthood, we usually aren't able to view ourselves in the absence of them.

Frequently asked questions

Testimonials

5★

“Your support feels so nurturing and has really helped me navigate some of the challenges that I’ve been facing these past couple of years. Thank you, Suzanne, for always listening and making me feel comfortable and safe from day one!”
— C.R.

5★

When we first came to see Suzanne, I was ready to end our marriage, but I decided to give it one last try. I didn’t have any hope that someone could help us since the issues we faced had been problems for years. But with Suzanne’s kind and compassionate (and sometimes firm) assistance, we finally found a way through the fog."
— M. & T. McI.

5★

“I’m so grateful to Suzanne for showing me that life at this stage can be great, and that I don’t need to grieve that I’m no longer my younger self. I’m young in spirit instead. Life is good, and I’m now full of excitement about the many experiences I have yet to have.”
— M.M.

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