- CBT techniques
- DBT skills
- Emotion-focused work
About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 35 years of experience. She has worked in community mental health, outpatient and inpatient settings, boarding schools, primary care, and volunteer roles. Katherine helps people with stress, anxiety, depression, bipolar disorder, relationship and family concerns, LGBTQ issues, addictions, grief, parenting and career transitions.
She has substantial experience with adolescents and young people, including many clients aged 12 to 19. Katherine notes that some clients have needed medication alongside counseling for conditions such as bipolar disorder and depression. Her background includes work across several levels of care, which she draws on when planning treatment.
Katherine describes her style as interactive and respectful. She combines Client-Centered methods with Cognitive Behavioral Therapy and Dialectical Behavior Therapy, and also uses Emotionally-Focused and Existential approaches when they fit the situation. Sessions focus on practical goals the person brings to therapy.
In a typical session she listens to what matters most and then helps map steps forward. That may include practicing new ways of thinking, learning emotion-regulation skills, or working on communication patterns in relationships. She avoids stigmatizing labels and attends to each person’s history and circumstances.
People often come to her feeling stuck by guilt, shame, life changes, or ongoing mood problems. Katherine aims to help them sort what’s happening, reduce unhelpful patterns, and find clearer choices about next steps.
How her approaches translate to online work
Client-Centered Therapy focuses on listening, acceptance, and following what the person brings to session. Online sessions using this approach often center on open conversation and reflecting back what matters to the client, which helps clarify feelings like guilt and shame.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. In remote work this can include practicing thought records, trying behavior experiments between sessions, and using short homework tasks to test new ways of thinking about past mistakes or current worries.
Dialectical Behavior Therapy (DBT) offers practical skills for emotion regulation, distress tolerance, and interpersonal effectiveness. That can be useful when guilt, shame, or strong mood swings make it hard to act or to communicate clearly with others.
Finding the best approach is part of the work together. Katherine will talk with each person about goals, preferences, and what has or hasn’t helped before. She uses that conversation to decide whether CBT, DBT, Emotionally-Focused, Existential, or Client-Centered methods - or a mix - are the best fit.
The biography does not specify which online session formats are offered, so confirm current options before booking. Many people find online sessions easier to fit into a weekday schedule, allow shorter check-ins when time is limited, and make it possible to continue regular work when life is busy. Licensed professionals can use those practical advantages to keep work consistent while focusing on skill practice and goal progress.
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 concerns does she work with?
She works with stress, anxiety, depression, bipolar disorder, grief, addictions, relationship and family issues, LGBTQ concerns, parenting and career adjustments, and related topics.
How would she approach guilt or shame?
Katherine uses client-centered listening alongside CBT and DBT tools to identify thoughts and behaviors that keep guilt or shame active. She helps people practice different responses and learn emotion-regulation strategies.
What is her professional background?
She has 35 years of clinical experience across community mental health, outpatient, inpatient, boarding school, primary care, and volunteer settings.
What credential does she hold and where is she based?
She is an NC LCMHC - Licensed Clinical Mental Health Counselor in North Carolina.
Does she offer sessions in other languages or accept international clients?
Sessions are offered in English. She does not accept international clients.
What session formats are available?
The biography does not list specific session formats. Confirm current session options before booking to know which formats are offered.
How are fees handled?
Cost varies with location. Sessions use a subscription that can be canceled at any time.
What are the steps to begin working together?
Select the See online therapy options button, complete a 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.