About Leianne
Leianne Trefry is a licensed mental health counselor who focuses on helping people manage stress and anxiety. She brings a calm, respectful manner to sessions and aims to make the first steps toward change feel manageable. Leianne works with adults who want clearer coping tools and steadier everyday functioning.
She uses conversational, client-centered work that adapts to each person's needs. Cognitive behavioral strategies are woven into sessions to spot and shift unhelpful thoughts and behaviors.
Background and approach
Dialectical behavior techniques help people build emotion regulation and distress tolerance skills when feelings run high. Leianne also draws on mindfulness practices to increase present-moment awareness and reduce reactivity. Motivational interviewing supports people who are ambivalent about change or facing addictions and health challenges.
She pairs these approaches with practical, doable homework between sessions. With eleven years of experience, Leianne has supported people through trauma, relationship strain, grief, chronic health issues, and substance concerns. She emphasizes respect, sensitivity, and compassion in every conversation.
Her aim is to empower people to make steady progress toward their goals. Sessions are shaped around what each person needs and how they prefer to work. Leianne helps clients plan concrete steps, set realistic expectations, and notice small gains along the way.
Approaches to Anxiety and Flexible Online Care
Leianne uses client-centered therapy to place the person's goals and preferences at the center of each session. This approach means conversations are shaped around what matters most to the individual and progress moves at a comfortable pace.She combines cognitive behavioral therapy, which looks at how thoughts and behaviors influence feelings and teaches practical coping skills, with dialectical behavior therapy techniques that focus on emotion regulation and distress tolerance. CBT is useful for managing anxious thinking and daily habits, while DBT skills help when emotions feel overwhelming.
Finding the right combination of approaches is part of the work. Leianne collaborates with each person to try methods that suit their goals and adjust them over time based on what helps. That collaborative testing helps narrow in on effective strategies.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and skill practice, phone calls can be easier when bandwidth is limited, live chat supports shorter check-ins, and messaging lets people share progress between sessions. These options make it simpler to fit therapy into a busy life and to keep using tools as situations change.
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What this therapist works with
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Body image
- Cancer
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 11 years
- Licensed
- Washington
- Languages
- English
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