- Client-centered approach
- CBT and DBT methods
- Family of origin focus
About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 35 years of experience. She has worked across community mental health, outpatient clinics, inpatient settings, a boarding school, primary care, and volunteer roles. She helps people with stress, anxiety, depression, bipolar disorder, LGBT concerns, relationship and family issues, and life changes.
Katherine has long experience with people facing health-related concerns and addictions. She has worked with adults who struggle with sleep, intimacy, grief, caregiving strain, and career pressures. Her background includes many years supporting teenagers aged 12 to 19 in clinical settings.
Her approach centers on the client and on practical skills. She uses client-centered listening alongside cognitive-behavioral methods to identify thinking patterns that keep problems going. She also draws on dialectical behavior therapy skills to help with emotion regulation and interpersonal stress.
Sessions focus on clear goals and on steps that can be practiced between meetings. Conversations look at family history and family of origin issues when those patterns matter to current problems. Katherine works collaboratively to build concrete tools for coping, communication, and decision-making.
People come to her for help with blended family concerns, attachment questions, codependency, and commitment issues. She also has experience with aging and geriatric concerns, chronic illness, and caregiver stress. Katherine frames therapy as practical problem work grounded in respect for each person’s experience.
How Katherine’s approaches translate to online sessions
Client-Centered Therapy emphasizes listening and responsive feedback. The therapist aims to follow the client’s lead and reflect understanding, which helps people clarify their priorities and feel heard. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and practicing different behaviors. It works well for anxiety, depression, sleep problems, and stress by teaching concrete skills and homework tasks. Dialectical Behavior Therapy (DBT) offers emotion regulation, distress tolerance, and interpersonal effectiveness skills. These tools are useful when strong emotions or relationship conflict make daily life harder.Finding the right mix of approaches is part of the work. Katherine will collaborate with the client to choose which methods to use based on current goals, history, and what feels workable in day-to-day life. That collaborative planning includes deciding how to practice skills between sessions and what to focus on first.
The specific online session formats available should be confirmed before booking. Ask about which formats are offered and how they fit into your routine. Online sessions can make it easier to fit counseling into a busy schedule, allow shorter check-ins when needed, and remove travel time so sessions can happen from different locations with quieter surroundings or less screen time when preferred.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she address?
Katherine works with stress, anxiety, depression, bipolar disorder, relationship and family concerns, LGBT issues, addictions, grief, sleep and intimacy problems, and life changes.
How would she describe her therapeutic style?
She uses a client-centered style combined with cognitive-behavioral and dialectical behavior therapy skills. Work is interactive and focused on practical steps and goals.
What is her professional background?
She has 35 years of experience across community mental health, outpatient, inpatient, boarding school, primary care, and volunteer settings.
What credential does she hold and where does she practice?
She is an LCMHC (Licensed Clinical Mental Health Counselor) practicing in North Carolina.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions paid for and what does cost look like?
Cost varies with location; sessions use a subscription that can be canceled at any time. Specific pricing is provided in the platform details.
How do I get started with her?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the system.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.