- Guilt and shame support
- Kink and alternative culture
- CBT inspired techniques
About Catrina
Catrina Switzer is a Washington LMHC with 15 years of clinical experience. She works with adults carrying stress, anxiety, trauma and abuse, low self-esteem, and depression. Her practice also pays attention to guilt and shame when those feelings come up around identity, relationships, or past events.
She works with people from subcultures, including geek communities, LGBTQ people, AAPI clients, those who are chronically ill, neurodivergent people, and people involved in kink and alternative sex culture. Sessions focus on what the person wants to change and on small, practical steps toward those goals.
Catrina uses talk-based methods such as cognitive behavioral techniques, dialectical behavior techniques, and motivational interviewing to help clients notice patterns and try new responses. She and the client set concrete goals and create tools that fit day-to-day life. The work often looks like identifying unhelpful thoughts, practicing specific coping skills, and planning doable experiments between sessions.
Her background includes 15 years as a mental health clinician working with youth and adults. She emphasizes clients' values, communities, and strengths when shaping treatment. The focus is on building skills the person can use outside of sessions.
People who bring concerns about body image, chronic pain or illness, family of origin issues, polyamory and non-monogamous relationships, sexuality, or women's issues will find these topics are within her stated focus. She offers sessions in English and practices in Washington as an LMHC.
How clinical approaches shape online work
Cognitive behavioral techniques focus on identifying unhelpful thoughts and testing them with small behavioral experiments. This approach helps when guilt or shame comes with repetitive negative thoughts and when someone wants practical steps to challenge those patterns.Dialytical behavior techniques teach concrete skills for managing intense emotions and improving interpersonal effectiveness. These techniques are useful for people who become overwhelmed by shame or who want tools to regulate mood and handle difficult conversations.
Motivational interviewing is a conversational style that supports people in clarifying goals and building internal motivation. It is often used when someone feels stuck or uncertain about making changes related to values, relationships, or behavior.
Choosing the right mix of methods is collaborative. The therapist will work with the client to decide which techniques fit their goals, preferences, and what they want to try first. That process may include trying different skills and adjusting the plan as needed.
The biography does not list specific session formats, so confirm current online options before booking. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time. Licensed professionals also use online work to maintain continuity when schedules or locations change, while focusing on practical skills that transfer to everyday life.
Areas of expertise
Primary focus
Additional focus areas
Experience
15+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of concerns does she treat?
She works with stress, anxiety, trauma and abuse, self-esteem, and depression, and lists guilt and shame among her focus areas.
How would she approach feelings of shame?
Catrina uses talk-based approaches and skill practice to help people notice shame triggers, test unhelpful thoughts, and try different responses in daily life.
How much clinical experience does she have?
She has 15 years of experience as a mental health clinician working with youth and adults across many concerns.
What are her professional credentials and where is she based?
She is an LMHC licensed in Washington and practices there.
Does she offer sessions in other languages?
Sessions are offered in English.
Can she work with international clients?
International clients are not currently accepted.
What session formats are used?
The original biography does not list specific session formats; please confirm current session options before booking.
How much do sessions cost and how does scheduling work?
Cost varies with location and sessions use a subscription that can be canceled at any time; to begin, select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.