- Stress and anxiety
- Relationship issues
- CBT and DBT methods
About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 35 years of experience. She has worked across community mental health, outpatient clinics, inpatient settings, a boarding school, volunteer programs, and primary care. Katherine helps people with stress, anxiety, depression, bipolar concerns, relationship and family issues, and LGBT matters among other concerns.
Many people come to her when life changes feel overwhelming. She also supports those dealing with grief, addiction, sleep problems, parenting strain, career questions, and intimacy or sexual-culture concerns such as BDSM and kink. Some clients have medication involved as part of their overall care, and she has long experience with adolescent clients aged 12 to 19.
Katherine describes a practical, interactive counseling style. Sessions focus on the client’s goals and everyday needs rather than labels. She draws on client-centered work to pay attention to personal values and on cognitive-behavioral methods to notice and change unhelpful thinking patterns.
Dialectical behavior therapy tools are used to teach emotion regulation and coping skills. She also uses emotionally focused and existential ideas to address relationship patterns and questions of meaning. Conversations are meant to be straightforward and goal directed so people can try things between sessions.
Her background includes long-term clinical work in varied settings, which she uses to adapt to different life situations. Katherine works in English and practices in North Carolina. Prospective clients should confirm current session options before booking and follow the site process to begin.
How Katherine uses therapeutic approaches in online work
Client-Centered Therapy centers the person's own values and choices. In practice this means the therapist listens closely and helps a person clarify what matters and which steps feel doable. Cognitive Behavioral Therapy (CBT) focuses on noticing thoughts and behaviors that keep problems going and practicing small changes to shift mood and functioning. Dialectical Behavior Therapy (DBT) teaches concrete skills for handling intense emotions, improving distress tolerance, and strengthening interpersonal effectiveness, which can help with anxiety, mood swings, and relationship strain.Choosing the right approach is part of the work together. Katherine will discuss your needs, goals, and preferences and recommend or combine methods that fit. That collaborative conversation helps decide whether to emphasize skills practice, values clarification, or relationship-focused work.
Session formats are not specified in the biography, so confirm current options before booking. Many people find online sessions easier to fit into a busy day or better for shorter check-ins when time is tight. Others prefer longer conversations to work through relationship patterns or emotional regulation skills. Discuss scheduling and format during the initial matching and appointment steps so sessions can be arranged around your everyday life.
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 commonly help with?
She helps people with stress, anxiety, depression, bipolar disorder, relationship and family issues, LGBT matters, grief, addictions, sleep problems, parenting strain, career questions, and intimacy-related concerns.
How would she describe her therapy style?
Her approach is practical and interactive, focusing on clients' goals. She combines client-centered listening with cognitive-behavioral and dialectical behavior tools.
What is her professional background?
She has 35 years of clinical experience in community mental health, outpatient, inpatient, boarding school, volunteer, and primary care settings.
Which credential does she hold and where does she practice?
She holds the NC LCMHC credential and practices in North Carolina.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not taking international clients at this time.
What session formats are offered?
Please confirm current session format options before booking, as the biography does not specify them.
How is cost handled for sessions?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin if I want to schedule a session?
Click the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.