- CBT methods
- DBT skills
- Client-centered work
About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 35 years of experience. She has worked in community mental health, outpatient clinics, inpatient settings, boarding schools, primary care, and volunteer roles. She helps people with stress, anxiety, depression, bipolar disorder, relationship issues, and LGBTQ concerns among other problems.
Her background includes long-term clinical work and time supporting adolescents ages 12 to 19. That experience informs how she talks through mood concerns, medication questions, and life adjustments. She does not advertise diagnostic testing; medication decisions are discussed when relevant alongside clinical care.
Katherine uses several practical approaches. She draws on client-centered principles to follow what matters most to the individual. She uses Cognitive Behavioral Therapy (CBT) to identify and change unhelpful thinking and behavior patterns. She also incorporates Dialectical Behavior Therapy (DBT) skills for emotion regulation and interpersonal effectiveness.
Sessions focus on concrete goals and problem solving. Conversations may cover coping skills for sleep, managing grief, addressing intimacy-related issues, addiction concerns, or the stresses of parenting and blended family life. Katherine aims to help people sort priorities and make manageable changes.
Her work is straightforward and collaborative. She listens, suggests tools drawn from evidence-based approaches, and reviews progress over time. People considering counseling are asked to complete a brief matching questionnaire and schedule a first session to see if the fit feels right.
How therapeutic approaches translate to online work
Client-Centered Therapy emphasizes listening and supporting the client's priorities. In practice this means the therapist follows what matters most to the person and adapts session focus to those goals. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behavior; online CBT sessions often include homework, thought records, and practical exercises to change patterns that maintain anxiety or low mood. Dialectical Behavior Therapy (DBT) teaches concrete skills for managing strong emotions and improving communication. DBT skills can be practiced in sessions and applied between meetings to handle conflict or intense feelings.Finding the right approach is part of the work. The therapist will collaborate with the person to decide which methods fit their needs and goals. That decision can change over time as progress and challenges become clearer.
The original biography does not list specific session formats, so confirm current options before booking. Online sessions can make it easier to fit counseling into daily life because they reduce travel and can be scheduled around work, school, or caregiving. Shorter check-ins or sessions that do not require video can lower the time and bandwidth needed. Licensed professionals can use these options to keep therapy practical and accessible while focusing on skills, problem solving, and measurable goals.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, bipolar disorder, relationship and family concerns, grief, addictions, and blended family issues among others.
What is her therapy style like?
She uses a practical, interactive approach that focuses on your goals and uses tools from CBT, DBT, and client-centered work.
How much clinical experience does she have?
She has 35 years of experience across community mental health, outpatient, inpatient, boarding school, primary care, and volunteer settings.
What credentials and location apply?
She is an LCMHC licensed in North Carolina and practices from that state.
Which languages are supported and can international clients join?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are offered?
The original profile does not specify session formats; please confirm current session options before booking.
How are costs handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.