About Larisha
Larisha Perlote is a licensed marriage and family therapist who focuses on helping people manage stress and anxiety. She invites clients to bring their real concerns and everyday struggles into sessions. Larisha emphasizes practical steps and steady support rather than quick fixes.
She has eight years of experience working with people facing relationship and family conflicts, trauma and abuse, grief, and intimacy-related worries. Larisha also helps clients handle parenting challenges, anger, low self-esteem, career transitions, and the ups and downs that come with bipolar disorder and major life changes.
Background and approach
Her work often addresses attachment and abandonment concerns, blended family issues, communication problems, and forgiveness work. In sessions she centers the client’s perspective and builds on strengths. Larisha uses a mix of approaches to match the person in front of her, including acceptance and commitment techniques, cognitive-behavioral strategies, attachment-based ideas, client-centered ways of listening, and some skills drawn from dialectical behavior therapy.
Conversations include clear tools, small behavioral steps, and space to process emotions. People can expect straightforward conversations that connect real-life goals to manageable steps. Larisha aims to make progress feel doable by breaking challenges into small parts and tracking what helps.
She frames therapy as a collaborative process where the client’s values and choices guide the work. Sessions are offered in English and are provided from her Texas license. Larisha supports people through transitions like divorce or career change and helps those coping with guilt, shame, isolation, or loss.
Approaches that translate well to online care
Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and take actions that match their values. It can be useful for anxiety, stress, and navigating big life choices. Cognitive Behavioral Therapy, or CBT, focuses on identifying thought and behavior patterns that keep problems going and testing new ways of thinking and acting. CBT often helps with anxiety, mood shifts, and coping skills. Attachment-Based Therapy pays attention to how early relationships shape current connections and can help with intimacy issues, trust, and family conflicts.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, personal preferences, and what has or has not worked before. Together they try methods and adjust the mix of ACT, CBT, attachment work, and client-centered listening until it fits the client's life and needs.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to match different needs. Video calls let people use visual cues and longer conversations, phone sessions can work when bandwidth is limited or a shorter check-in is needed, and chat or messaging suits brief updates, skills practice, or quick support between sessions. These options make scheduling easier and help therapy fit around work, parenting, or travel.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Divorce and separation
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Multicultural concerns
- Parenting issues
- Personality disorders
- Post-traumatic stress
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- Texas
- Languages
- English
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