Katherine Pinyan, LCMHC
LCMHC with 35 years experience
- Client-centered therapy
- CBT and DBT
- LGBT and family
About Katherine Pinyan
Katherine Pinyan is a Licensed Clinical Mental Health Counselor (LCMHC) with 35 years of professional experience helping people navigate a wide range of life challenges. She has worked across community mental health, outpatient programs, boarding school and inpatient settings, in volunteer roles, and within primary care, bringing a broad practical background to her therapeutic work.
Her practice addresses many concerns including stress, anxiety, depression, bipolar disorder, relationship and family issues, grief, trauma and abuse, addictions, self-esteem struggles, intimacy-related matters, sleep problems, parenting and career questions, and support for LGBT clients. She also has significant experience with adolescents, having worked with young people ages 12 to 19 for 16 years, and addresses additional focus areas such as aging and caregiver stress, chronic illness and pain, codependency, attachment and family of origin issues, and blended family dynamics.
Pinyan’s counseling style is warm, interactive, and grounded in respect, sensitivity, and compassion. She avoids stigmatizing labels and tailors work to each person’s goals and needs. Her clinical approach blends client-centered, cognitive-behavioral, interpersonal, and dialectical strategies, and she incorporates emotionally-focused and existential perspectives when appropriate. She recognizes that medication can sometimes play a role for diagnoses such as bipolar disorder and depression and collaborates with clients to align therapeutic work with their broader care. Katherine encourages those considering therapy to take the next step toward change and believes that collaborative, goal-focused work can help people move toward the life they want.
Her practice addresses many concerns including stress, anxiety, depression, bipolar disorder, relationship and family issues, grief, trauma and abuse, addictions, self-esteem struggles, intimacy-related matters, sleep problems, parenting and career questions, and support for LGBT clients. She also has significant experience with adolescents, having worked with young people ages 12 to 19 for 16 years, and addresses additional focus areas such as aging and caregiver stress, chronic illness and pain, codependency, attachment and family of origin issues, and blended family dynamics.
Pinyan’s counseling style is warm, interactive, and grounded in respect, sensitivity, and compassion. She avoids stigmatizing labels and tailors work to each person’s goals and needs. Her clinical approach blends client-centered, cognitive-behavioral, interpersonal, and dialectical strategies, and she incorporates emotionally-focused and existential perspectives when appropriate. She recognizes that medication can sometimes play a role for diagnoses such as bipolar disorder and depression and collaborates with clients to align therapeutic work with their broader care. Katherine encourages those considering therapy to take the next step toward change and believes that collaborative, goal-focused work can help people move toward the life they want.
Areas of Expertise
Primary Focus
Also Specializes In
AddictionsRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesCareer difficultiesBipolar disorderCoachingCompassion fatigue
Additional Focus Areas
Aging and geriatric issuesAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationFamily of origin issuesFamily problemsGender dysphoriaGuilt and shameIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
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
Frequently Asked Questions
How much experience does Katherine Pinyan have?
Katherine Pinyan has 35 years of experience.
Is Katherine Pinyan a licensed therapist?
Yes. She holds the credential LCMHC, which stands for Licensed Clinical Mental Health Counselor. License details: NC LCMHC 2719.
In which languages does Katherine Pinyan provide therapy?
Therapy is provided in English.
Where is Katherine Pinyan located?
She is located in North Carolina.
How can I work with Katherine Pinyan as my therapist?
You can work with Katherine Pinyan through video calls, phone sessions, live chat, or text-based messaging.
Does Katherine Pinyan work with international clients?
Katherine Pinyan does not currently work with international clients.
How much does therapy with Katherine Pinyan cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches and Remote Care
Katherine draws on client-centered therapy and cognitive-behavioral therapy (CBT) as core elements of her work. Client-centered therapy emphasizes empathy, respect, and collaboration, helping people explore their values and goals in a supportive relationship. CBT focuses on identifying and changing patterns of thinking and behavior that contribute to anxiety, depression, and other concerns, offering practical skills for day-to-day coping.
She also uses dialectical behavior therapy (DBT) techniques when emotion regulation, distress tolerance, and interpersonal effectiveness are primary needs. DBT provides structured tools to manage intense emotions and improve relationships, and can be helpful for those facing mood instability, impulsive behaviors, or high emotional reactivity.
Determining the right approach is part of the therapeutic process. Katherine works collaboratively with each person to assess needs, preferences, and goals, and then tailors methods from these approaches to fit the individual. Licensed professionals will guide adjustments over time so the plan evolves with progress and changing circumstances.
Online therapy offers flexible ways to connect via video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules and reach support from home or other convenient locations. These options increase accessibility and allow ongoing therapeutic work even when life is changing.