Profile / United States
Katherine Pinyan, LCMHC
North Carolina
LCMHC in North Carolina - Anxiety and Life Changes
See online therapy options- CBT informed
- DBT skills
- Client-centered
About Katherine
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 35 years of experience. She has worked in community mental health, outpatient, inpatient, boarding school, volunteer, and primary care settings. She helps people with stress, anxiety, depression, bipolar disorder, relationship and intimacy concerns, and issues related to LGBT identity.
She draws on cognitive behavioral methods alongside client-centered and dialectical behavior approaches. Sessions focus on identifying unhelpful thoughts and testing different ways of responding. Conversations are practical and goal-oriented, with attention to daily habits and problem-solving.
Katherine has long experience supporting people facing life changes, grief, chronic health concerns, and caregiver strain. She has worked with adolescents as well as adults, and she understands how school, work, and family roles shape stress and mood. She also addresses topics such as addiction, sleep problems, and sexual expression within kink and BDSM culture.
Her background includes many care settings, so she is used to combining therapy with other services when needed. Clients can expect to talk through specific situations, practice new skills between sessions, and revisit what is or isn’t working. Katherine notes that some people she’s worked with use medication as part of their broader care.
She offers a direct, interactive approach that centers the client’s goals and preferences. People who want structured work on thoughts, behaviors, and coping strategies may find this practical style useful.
Approaches used and how online sessions fit in
CBT focuses on noticing unhelpful thoughts and testing new responses. It is useful for anxiety, depression, sleep problems, and changing everyday habits that add to stress.Client-centered work emphasizes the person’s perspective and priorities. The therapist listens for what matters most and helps people set and pursue concrete goals based on their values.
DBT offers practical skills for emotion regulation, distress tolerance, and improving communication. It is often helpful for intense mood swings, relationship strain, and problems with impulsive behavior.
Finding the right approach is part of the therapy process. Katherine will collaborate with each person to choose methods that match their goals and preferences. That means trying strategies, checking what helps, and adjusting the plan together.
Session options are not listed explicitly here, so confirm the current online formats before booking. In general, online work can make it easier to fit appointments into a busy week, allow a shorter check-in when time is limited, or avoid travel time to an office. Therapists will also discuss practicalities like whether to use video or audio for a given session so sessions suit everyday life and responsibilities.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she commonly help with?
She works with stress, anxiety, depression, bipolar disorder, relationship and intimacy issues, grief, addictions, parenting and career stress, and LGBT-related concerns.
How would you describe her therapy style?
Her approach is practical and interactive, using cognitive behavioral ideas alongside client-centered and dialectical techniques to focus on goals and skills.
How much experience does she have?
Katherine has 35 years of clinical experience across community mental health, outpatient, inpatient, boarding school, volunteer, and primary care settings.
What credential does she hold and where is she based?
She is an LCMHC licensed in North Carolina and practices in that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.