About Larissa
Larissa Rzemienski is a Licensed Professional Counselor who helps people manage anxiety, stress, grief, and depression. She writes plainly and meets people where they are. She offers practical ideas and steady support for everyday challenges.
She has practiced counseling for 22 years and earned a Master of Counseling degree and an Educational Specialist degree in Educational Leadership. Larissa has worked in many settings, including school counseling, telehealth, probation, and a suicide hotline.
Background and approach
That mix of roles shaped a flexible, problem-focused style. Her sessions focus on what a person wants to change and how to get there. She draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Attachment-Based Therapy, Dialectical Behavior Therapy, and client-centered approaches.
Larissa adjusts methods to fit each person’s needs rather than using the same plan for everyone. Larissa is experienced with a wide range of concerns. These include relationship and intimacy difficulties, parenting and blended family stress, addictions, trauma and abuse, body image and eating issues, sleep problems, ADHD, chronic illness, grief, and career questions.
She also addresses less common concerns like Disruptive Mood Dysregulation Disorder and codependency. Sessions are available by video call, phone, live chat, or text-based messaging. Larissa values practical steps a person can try between sessions and works with clients to set realistic goals and measure progress.
Approaches that guide online care
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck in them, then move toward actions that match their values. ACT can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behavior and teaches skills to change unhelpful patterns; it often helps with anxiety, depression, sleep, and mood symptoms. Attachment-Based Therapy pays attention to how early relationships shape current patterns and helps people build safer ways of relating and managing closeness and trust.Finding the right approach is part of the work. Larissa collaborates with each person to choose and adapt methods based on their goals, comfort, and progress. She mixes techniques as needed and checks in regularly to see what helps most.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy easier to fit into a busy life. Video calls allow face-to-face conversation for skills work and deeper discussion. Phone sessions can be easier when bandwidth is limited or when someone wants a simpler check-in. Live chat and messaging let people send quick updates, try short tools between sessions, or check in without scheduling a full call.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 22 years
- Licensed
- Arizona
- Languages
- English
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