About Catrina
Catrina Switzer is a licensed mental health counselor (LMHC) with 15 years of clinical experience. She emphasizes small wins and practical steps, and she values clients who reach out for help. Catrina aims to make therapy approachable and straightforward for people feeling overwhelmed by stress, anxiety, or low mood.
She helps people manage trauma, depression, and self-esteem struggles with clear, goal-focused work. Sessions tend to center on what the client wants to change and on building tools that fit daily life.
How Catrina works
Catrina pays attention to how identity, community, and culture shape a person’s experience. Her background includes long practice using evidence-based therapeutic techniques alongside conversational approaches. She draws on methods that teach skills for managing intense emotions and for changing unhelpful thinking patterns.
That mix supports practical progress rather than abstract theory. Catrina also addresses relationship patterns, communication problems, family of origin issues, and concerns about sexuality, body image, and nontraditional sexual cultures. She works with people coping with chronic illness, chronic pain, mood disorders, and post-traumatic stress.
Guilt, shame, life purpose, and multicultural concerns are common topics in her work. Sessions are offered in English and conducted online for residents of Washington. Her style is collaborative and direct - she listens, helps set clear goals, and offers tools a person can try between sessions.
What Catrina works with
The areas below are the ones Catrina selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- BDSM, kink, and alternative sex culture
- Body image
- Chronic pain, illness, and disability
- Communication problems
- Depression
- Family of origin issues
- Family problems
- Guilt and shame
- Life purpose
- Mood disorders
- Multicultural concerns
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Self-harm
- Sexuality
- Women's issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 15 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How evidence-based methods translate to online care
Two commonly used evidence-based techniques are cognitive behavioral approaches and skills-based therapies. Cognitive behavioral work focuses on identifying unhelpful thoughts and testing new ways of thinking and behaving to reduce anxiety and depression. Skills-based techniques teach concrete tools for managing intense emotions, improving communication, and reducing self-harm urges.Finding the right approach is part of the work. The therapist collaborates with each person to choose methods that match their goals, needs, and preferences. That shared decision-making helps tailor sessions so techniques feel useful in day-to-day life.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversations and visual cues. Phone calls can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging work for brief check-ins, skill reminders, or when typing feels more comfortable. These options make it easier to fit therapy into a busy schedule and to keep momentum between sessions.
Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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