- Stress and anxiety
- Relationships and intimacy
- ACT and CBT approaches
About Larissa
Larissa Rzemienski is a Licensed Professional Counselor (LPC) in Arizona with 22 years of counseling experience. She combines clinical work and school counseling background to help people facing stress, anxiety, depression, relationship strain, grief, addiction concerns, and questions about identity and life direction.
She trained in psychology at Arizona State University and later completed a Master of Counseling and an Education Specialist degree in Educational Leadership. She also holds an MBA in Marketing. Over two decades she has worked in many settings including suicide hotline supervision, probation counseling, high school guidance, telehealth, and teaching master-level counseling students.
Her practical work often looks at everyday problems - trouble sleeping, low self-esteem, conflicts with partners or family, career stress, and coping with big life changes. She also addresses issues such as trauma and abuse, ADHD, substance challenges, and concerns around intimacy and body image. Larissa lists both clinical and coaching-style support among her offerings.
Larissa draws on several therapy approaches while keeping sessions focused and direct. She frequently uses client-centered ideas, cognitive behavioral techniques, acceptance and commitment strategies, attachment-based ideas, and dialectical behavior tools depending on what a person needs. She has provided telehealth counseling for several years and lists messenger, phone, and video as ways she has connected with clients.
Outside of clinical work she teaches counseling students, leads yoga, hikes, and spends time with her college-age daughter and pet rabbit. She practices from Arizona and conducts sessions in English.
Therapeutic approaches and how online sessions work
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without being ruled by them. It emphasizes values-based action so people can move toward a life they care about even when stress or worry is present. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and offers practical strategies for changing unhelpful patterns. It is useful for anxiety, depression, sleep issues, and many daily stressors.Finding the right approach is part of the work. The therapist will work collaboratively to decide which methods fit a person's goals, preferences, and current challenges. That choice can change over time as goals shift or new issues come up.
Larissa has experience delivering care through telehealth and has connected with people via messenger, phone, and video. Please confirm the specific session formats she currently offers before booking. Online sessions can make it easier to fit counseling into a busy schedule, reduce travel time, allow shorter check-ins when needed, and let someone choose whether to use video or a phone conversation depending on energy and bandwidth. Therapists and licensed professionals typically discuss practical arrangements like timing, frequency, and how to handle cancellations at the first meeting so sessions work with everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
22+ years
Listed in
Arizona
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, grief, relationship and family concerns, addictions, trauma, eating and sleeping problems, ADHD, and related issues.
What is her general therapy style?
She uses a direct, client-centered style and adapts methods to each person. Her toolbox includes CBT, ACT, DBT, and attachment-based ideas.
How much experience does she have?
She has 22 years of experience in counseling roles across schools, hotlines, probation services, and telehealth.
Where is she based and what credential does she hold?
She practices in Arizona and holds the LPC credential (Arizona LPC).
Can non-US or international clients work with her?
Sessions are offered in English and she is not accepting international clients.
What session formats are used?
The biography notes experience with messenger, phone, and video sessions; confirm current session options before booking.
How are costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.