Katherine Pinyan , LCMHC

Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) with 35 years of experience across a wide range of care settings, including community mental health, outpatient clinics, boarding schools, inpatient programs, volunteer work, and primary care. She has extensive experience supporting people with depression, bipolar disorder, anxiety, relationship and family concerns, substance-related issues, trauma and abuse, grief, and life transition challenges. Her work has also included many years with adolescents ages 12 to 19 and with clients navigating LGBTQ matters, caregiving stress, chronic illness, and sexual diversity such as BDSM and kink when relevant to treatment.

Katherine brings a warm, interactive style to therapy and emphasizes respect, sensitivity, and compassion in every interaction. She avoids stigmatizing labels and centers work on each person’s goals and needs. Her clinical approach blends cognitive-behavioral techniques with humanistic and interpersonal perspectives and elements of dialectical behavior therapy to address thinking patterns, emotional regulation, and relationship dynamics. She also offers coaching-informed support for practical life changes and career concerns.

Throughout a long career in diverse settings, Katherine has focused on helping people develop coping strategies, improve communication, and manage both common and complex mental health concerns. Her practice is grounded in collaboration and tailored to the unique circumstances of each individual.

Therapeutic Approaches and Online Support

Client-centered therapy centers the person’s experience and emphasizes empathy, active listening, and collaboration - it helps people feel heard and supports growth by following the client’s pace and priorities. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thought patterns and behaviors to reduce symptoms of anxiety, depression, and stress while building practical coping skills. Dialectical Behavior Therapy (DBT) combines emotional regulation strategies, distress tolerance, interpersonal effectiveness, and mindfulness to help people manage intense emotions and improve relationships.

Choosing the right approach is part of the therapeutic process. Katherine works collaboratively with each person to explore which methods fit their needs, goals, and preferences, and she adapts techniques over time as progress and priorities shift. This collaborative stance helps tailor care to practical life concerns as well as deeper emotional work.

Online therapy offers flexibility for busy schedules and for those who prefer remote options. Katherine provides sessions by video call, phone, live chat, and text-based messaging, allowing clients to select the format that best suits their communication style and daily life. These options make it easier to maintain continuity of care and to access support from wherever a client is located within the state.