About Larissa
Larissa Rzemienski is a Licensed Professional Counselor (LPC) who focuses on helping people manage anxiety, stress, grief, and relationship concerns. She speaks plainly and aims to make therapy feel approachable for someone juggling parenting, work, or school. Her style suits people who want clear skills and steady support.
She brings 22 years of counseling experience across schools, crisis lines, probation services, and telehealth. That range means she has worked with many kinds of problems, from mood challenges to addiction and trauma.
Background and approach
Larissa has also taught graduate counseling students and led supervision, which keeps her practice grounded in current methods. Her approach adapts to each person. She uses cognitive behavioral techniques to help change unhelpful thinking and behavior.
She also uses attachment-based ideas to address patterns in close relationships and acceptance and commitment concepts to help people clarify values and handle difficult feelings. Sessions can include practical skills, conversational problem solving, and attention to how relationships shape behavior. Larissa often blends short-term tools with deeper work on meaning, identity, and coping with life changes.
She has experience with parenting stress, caregiving burdens, body image, and issues common in LGBTQ people. Larissa offers video calls, phone sessions, live chat, and text-based messaging for flexible care. She lives in Arizona and works in English.
To begin, clients complete a short matching questionnaire and then schedule sessions according to therapist availability.
Approaches That Translate Well to Online Care
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings while choosing actions that match their values. It can help when anxiety or avoidance gets in the way of daily life. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches concrete skills to change unhelpful patterns. It is often used for anxiety, depression, and sleep or eating concerns. Attachment-Based Therapy pays attention to how early and current relationships shape how people respond to stress and intimacy issues, and it can help rebuild safer ways of relating.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, try out methods, and adjust the plan based on what works. That shared decision making helps tailor sessions to individual needs and life circumstances.
Online therapy offers flexibility in how people connect. Video calls allow face-to-face conversation when a deeper, real-time exchange is helpful. Phone sessions can be easier when video is not needed or bandwidth is limited. Live chat and text messaging support brief check-ins, skill practice, and ongoing encouragement between longer sessions. These options make it easier to fit therapy into work, school, caregiving, or busy days.
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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