About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor with 35 years of practice in a range of settings. She has worked in community mental health, outpatient programs, inpatient care, a boarding school, volunteer roles, and primary care. Katherine meets people where they are and focuses on what they want to change.
Her work often addresses stress and anxiety along with depression and mood disorders such as bipolar concerns. She also supports people coping with relationship struggles, life transitions, grief, trauma and abuse, and issues related to sexual identity and intimacy.
Background and approach
She has experience with addictions, sleep problems, caregiving strain, and chronic health challenges. Katherine describes her style as warm and interactive. Sessions are collaborative and goal-driven so each visit centers on the client's needs and priorities.
She avoids stigmatizing labels and treats people with respect, sensitivity, and compassion. Her approach blends client-centered methods with cognitive-behavioral and dialectical behavior ideas, and draws on emotionally-focused and existential perspectives when useful. That mix helps translate thoughts and feelings into practical steps and new ways of relating to others and to oneself.
Katherine has substantial experience with adolescents and adults and has worked alongside medical providers when medication was part of care. She invites people to take the next step toward change and to explore therapy that fits their goals.
Approaches that guide online sessions
Client-centered therapy focuses on listening and responding to each person's experience. The therapist offers empathy and support while helping clients identify their goals and strengths, which is useful for stress, relationship concerns, and self-esteem work.Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors. It breaks problems into manageable steps and teaches specific skills for anxiety, depression, sleep difficulties, and coping with life changes.
Dialectical Behavior Therapy, or DBT, emphasizes emotion regulation, distress tolerance, and better interpersonal skills. It can help when feelings are intense or when communication and boundaries are a challenge.
Choosing the right approach is part of the work together. The therapist will talk with the client about problems, goals, and preferences and then suggest ways to proceed. That planning is collaborative and can change as progress is made.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions work when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people send short updates or questions between sessions and fit support into a busy day. These options make it easier to keep therapy consistent around work, caregiving, and travel.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- Aging and geriatric issues
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Family conflicts
- Family of origin issues
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- North Carolina
- Languages
- English
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