About Larissa
Larissa Rzemienski is a Licensed Professional Counselor who aims to help people facing stress, anxiety, ADHD, grief, depression, and relationship challenges. She writes and speaks plainly so parents and busy adults can quickly grasp next steps. Her style is down-to-earth and focused on practical tools people can try between sessions.
She trained at Arizona State University with a Master of Counseling and has over 22 years of experience in school, community, and telehealth settings.
Background and approach
That background includes work as a suicide hotline supervisor, a probation counselor, high school guidance counselor, and tele-health clinician. She also teaches Master of Counseling students and leads yoga classes, which informs her focus on breath and grounding skills. Larissa draws on several common therapy methods and adapts them to each person’s needs.
She uses Cognitive Behavioral Therapy to identify unhelpful thinking and behavior patterns. She uses Client-Centered techniques to make space for a person’s own goals and values. She also uses Acceptance and Commitment Therapy and Attachment-Based ideas when they fit the situation, helping people accept difficult feelings and strengthen emotional connections.
Sessions include skill practice, problem-solving, and planning small experiments to test new ways of coping. Larissa offers video calls, phone sessions, live chat, and text-based messaging. She aims to make therapy practical and flexible for people managing work, parenting, or school responsibilities.
How her approaches work in online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings and choosing actions that match personal values. It can help when worry, low mood, or life changes make it hard to move forward. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact and teaches practical exercises to change unhelpful patterns. It is useful for anxiety, depression, and many everyday problems. Attachment-Based Therapy explores how early relationship patterns affect current connections and communication, and it can help people strengthen emotional bonds and manage conflict.Finding the right approach is a team effort. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which methods to try and adjust the plan over time based on what works in real life.
Online sessions make it easier to fit therapy into busy routines. Video calls allow a face-to-face conversation and screen sharing for worksheets. Phone sessions can be a lower-bandwidth option or a quick check-in. Live chat and text-based messaging work well for brief check-ins, skill reminders, or when typing feels easier than talking. These formats offer flexibility for people juggling work, parenting, school, or health concerns.
Questions people ask
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What this therapist works with
Most often
- 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
Therapeutic approaches
- 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
- Experience
- 22 years
- Licensed
- Arizona
- Languages
- English
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