About Larissa
Larissa Rzemienski is a Licensed Professional Counselor with 22 years of experience. She works with people facing stress, anxiety, depression, grief, addictions, LGBT concerns, trauma and related struggles. She uses straightforward conversation to help people clarify their goals and take steps that fit their life.
Larissa earned a Master of Counseling and a Master of Business Administration, and she also holds an Education Specialist degree. She has served as a suicide hotline supervisor, a probation counselor, a high school guidance counselor, and a telehealth counselor.
How Larissa works
She also teaches Master of Counseling students and leads yoga classes, bringing both clinical and practical skills into sessions. Her approach is practical and tailored. She draws on client-centered methods to focus sessions on what matters to each person.
She adds cognitive behavioral strategies to help with unhelpful thoughts and behaviors, and she uses attachment-informed perspectives when relationships are central to the concern. Sessions may include skill practice, real-life problem solving, and values-based goal setting. Larissa has provided virtual care for several years and offers options like video calls, phone sessions, live chat, or ongoing text messaging.
She aims to make therapy fit everyday schedules. Larissa lives in Arizona and enjoys hiking, teaching yoga, and spending time with her college-age daughter and pet rabbit. She aims to make the first steps into therapy feel manageable and clear.
Larissa lists 13 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
What Larissa works with
The areas below are the ones Larissa selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 22 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Arizona |
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 care
Acceptance and Commitment Therapy helps people notice unhelpful thoughts and reconnect with what matters. It combines mindfulness with small behavior changes to live by chosen values, which can help with depression, anxiety, and life transitions. Attachment-Based Therapy looks at how early relational patterns shape current relationships and emotional responses; it can be useful when trust, closeness, or abandonment concerns come up.Finding the right approach is part of the work. The therapist will collaborate with the client to choose methods that match goals, needs, and preferences. Sessions can shift over time as priorities change, and the plan is adjusted together.
Online formats include video calls, phone sessions, live chat, and ongoing text-based messaging. Video sessions allow face-to-face conversation and skill demonstrations. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and messaging work well for quick reflections, between-session coaching, or when people prefer written communication. These options make it easier to fit therapy into a busy life and to keep momentum between meetings.
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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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