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Katherine Pinyan

Katherine Pinyan, LCMHC

Therapist in North Carolina

Help for stress, mood, and life changes

Continue with Katherine

Review online therapy options on BetterHelp.

  • Warm interactive care
  • Goal focused sessions
  • Skill building emphasis

About Katherine

Katherine Pinyan is a Licensed Clinical Mental Health Counselor with 35 years of experience in mental health care. She has worked across settings including community mental health, outpatient clinics, inpatient units, boarding schools, volunteer work, and primary care. Katherine focuses on helping people manage stress, anxiety, depression, relationship concerns, and life changes.

Her approach is warm and interactive. She treats people with respect, sensitivity, and compassion, and avoids stigmatizing labels. Sessions center on the client's goals and practical steps toward change.

Katherine blends practical methods from cognitive behavioral therapy with a client-centered, human-focused stance. She also incorporates dialectical behavior techniques and interpersonal ideas when they suit a person's needs. This mix is used to build skills, clarify values, and address patterns that get in the way of daily life.

She has experience with concerns across the lifespan including mood disorders, grief, trauma, addictions, intimacy-related issues, parenting stress, caregiving strain, chronic illness, and LGBTQ matters. Katherine has substantial history working with adolescents as well as adults, and she supports people navigating blended family and family-of-origin issues.

Therapy with Katherine typically focuses on clear goals, skill building, and honest conversation about what feels most helpful. She invites people to work together to find approaches that fit their lives and priorities. To begin, follow the site's matching and scheduling steps to set up a first session.

Approaches that guide online work

Client-centered therapy focuses on listening, empathy, and helping a person find their own solutions; it is useful for building self-understanding and confidence. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect and teaches skills to change unhelpful patterns, often helping with anxiety, depression, and stress. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and mindful interaction, which can help with intense mood swings, relationship challenges, and coping during crises.

Finding the right approach is part of the work. The therapist will collaborate with the client to decide which methods fit best based on goals and daily life. Sessions can include skill practice, goal setting, and reviewing what worked between meetings so changes stick.

Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit appointments into a busy day, reduce travel time, and allow shorter check-ins when schedules are tight. It also lets people choose whether to use video or phone depending on bandwidth or comfort. Katherine will help match the format and approach to practical needs and personal preferences.

Areas of expertise

Also works with

AddictionsRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesCareer difficultiesBipolar disorderCoachingCompassion fatigue

Additional focus areas

Aging and geriatric issuesAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationFamily of origin issuesFamily problemsGender dysphoriaGuilt and shameIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused Therapy

Experience

35+ years

Credentials

North Carolina

Languages

English

Frequently asked questions

What kinds of concerns are addressed?

Katherine helps people with stress, anxiety, depression, relationship and intimacy issues, grief, trauma, addictions, parenting and caregiver stress, and LGBT concerns among others.

What is the therapy style like?

Sessions are warm and interactive, focused on respect and sensitivity. Work is collaborative and centered on practical goals and skills.

How much experience does the therapist have?

She brings 35 years of experience in community mental health, outpatient and inpatient care, boarding school settings, volunteer work, and primary care.

What credential does the clinician hold and where are they based?

The clinician is an LCMHC - Licensed Clinical Mental Health Counselor - practicing in North Carolina.

Which languages are sessions offered in?

Sessions are offered in English.

Are international clients accepted?

International clients are not currently accepted.

How does payment and cost work?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

How do I get started with therapy?

Click the continue button on this profile, complete the short matching questionnaire, and schedule according to therapist availability.

Katherine PinyanContinue with Katherine