About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor with 35 years of experience in varied settings. She practices in North Carolina and brings a long history of helping people through hard times. Her approach is straightforward and compassionate, aimed at practical change and clearer daily routines.
Katherine has worked in community mental health, outpatient clinics, boarding schools, inpatient care, volunteer programs, and primary care. She has helped people facing depression, bipolar disorder, anxiety, stress, addiction, grief, and challenges related to sexuality and intimacy.
How Katherine works
She also has experience addressing parenting concerns, career questions, sleep problems, and caregiver stress. Her style is warm and interactive. She avoids stigmatizing labels and treats people with respect and sensitivity.
Sessions focus on the goals a person brings and on skills that can help between meetings. In the room she blends client-centered listening with practical tools from cognitive behavioral therapy and emotion-focused ideas. She also uses techniques from dialectical behavior therapy and existential therapy when helpful.
That mix helps with mood management, relationship issues, and coping with life transitions. Katherine has worked extensively with adolescents in the past and maintains a broad practice working with adults across many concerns. She offers therapy by video call, phone, live chat, or text messaging and helps people pick formats that fit their life and needs.
Katherine lists 10 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.
Also listed
- Addictions
- Aging and geriatric issues
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Family conflicts
- Family of origin issues
- Family problems
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 35 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online work
Client-centered therapy focuses on listening carefully and following each person's lead. It helps people feel heard and builds the trust needed to tackle difficult topics. Cognitive behavioral therapy, or CBT, breaks problems into thoughts, behaviors, and feelings and teaches practical skills for shifting unhelpful patterns; it is useful for anxiety, depression, and sleep issues.Finding the right approach is part of the work together. The therapist will discuss goals, try different strategies, and adjust methods based on what helps most. This is a collaborative process where the client’s needs and preferences shape the plan.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and needs. Video allows face-to-face conversation when visual cues matter. Phone can be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging suit quick updates, ongoing coaching, or times when typing feels preferable. These options make it simpler to keep regular contact and to fit therapy into a busy life.
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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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