About Katherine
Katherine Flechaus uses client-centered care combined with practical cognitive tools. She is a licensed clinical social worker with 27 years of experience in Florida and New York. Katherine focuses on helping adults who feel stuck by talking through what matters most to them and trying small, actionable changes.
Katherine often helps people facing depression, anxiety, and low self-esteem. She also supports those dealing with relationship conflict, workplace stress, grief, and major life transitions.
How Katherine works
Her sessions aim to clarify unhelpful thoughts and identify steps that feel manageable. Her approach blends Cognitive Behavioral Therapy with narrative and solution-focused work. She helps people notice the stories they tell about themselves and test different ways of thinking.
Then she and the client pick practical strategies to try between sessions and check what works. Katherine pays attention to family of origin issues, codependency, caregiver stress, and concerns that arise later in life such as aging and hospice-related topics. She also addresses workplace issues, compassion fatigue, and the emotional fallout from infidelity or jealousy.
Many topics are explored in straightforward language and with concrete goals. Sessions are collaborative and paced to each person's needs. Katherine aims to create a steady place to reflect, practice new skills, and build self-compassion.
Her work is aimed at helping people make clearer choices and move forward in ways that fit their lives.
Katherine lists 4 ways of working on the entry:
What Katherine works with
The areas below are the ones Katherine selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Self esteem
- Career difficulties
Also listed
- ADHD
- Aging and geriatric issues
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Family of origin issues
- Family problems
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Infidelity
- Jealousy
- Life purpose
- Midlife crisis
- Parenting issues
- Self-love
- Stress, Anxiety
- Trauma and abuse
- Women's issues
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 27 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapy approaches translate to online sessions
Client-Centered Therapy emphasizes listening, empathy, and following the client's lead. In online sessions this means the therapist mirrors what matters to the client, asks open questions, and helps the person name their priorities and values.Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing small behavior changes. Online CBT often uses brief exercises, thought records, and measurable goals that a client can practice between video or phone sessions.
Narrative Therapy looks at the stories people tell about their lives and asks which stories they want to keep or change. Working remotely can make it easier to review those stories using chat or messaging to capture examples and reflect on new meanings.
Finding the right approach is part of the work. Katherine will collaborate with each person to match methods to their needs, goals, and preferences. That means trying approaches, adjusting techniques, and checking progress together so the plan fits the client's life.
Online formats offer flexibility for different routines and needs. Video calls let people see facial cues during deeper conversations; phone sessions work well when bandwidth is limited or for short check-ins; live chat and text-based messaging support ongoing reflection and quick touchpoints between sessions. These options make it easier to fit therapy into busy lives and to continue work consistently.
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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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