Larissa Rzemienski

Compassionate, experienced counselor guiding practical change

LPC Arizona

Experience: 22 years in practice
Focus areas: Stress, Anxiety, Relationship, Family
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Larissa

Larissa Rzemienski is a Licensed Professional Counselor based in Arizona who focuses on helping people manage stress, anxiety, depression, relationship struggles, grief, and a broad range of life transitions.

Background and approach

With 22 years of clinical experience, she blends practical skills and empathic listening to support clients working through issues such as trauma, addictions, parenting challenges, attention concerns, and self-esteem difficulties.

Her background includes roles as a school counselor, suicide hotline supervisor, probation counselor, telehealth practitioner, and guidance counselor, and she also teaches graduate counseling students and leads yoga classes. Larissa integrates evidence-based approaches like Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy, Attachment-Based techniques, Client-Centered methods, and Dialectical Behavior Therapy to tailor care to each person’s needs.

She offers sessions by video, phone, live chat, or text messaging and has been providing virtual care for several years. Larissa maintains a professional practice in Arizona and conducts sessions in English, bringing a practical, supportive style that emphasizes collaboration and real-world coping strategies.

Evidence-Informed Approaches and Online Care

Larissa uses Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful thinking patterns and develop practical skills for managing anxiety, depression, and behavioral challenges. Acceptance and Commitment Therapy (ACT) is also part of her toolkit, focusing on values-driven change and learning to relate differently to uncomfortable thoughts and feelings. Attachment-Based Therapy informs work around relationship dynamics, helping people explore patterns formed in early relationships and build more stable connections.

Finding the right approach is a collaborative process. She will work with each person to determine which combination of methods best fits their goals, preferences, and the issues they bring to sessions, adjusting the plan as progress and needs evolve.

Online therapy offers flexibility in scheduling and formats, and Larissa provides video calls, phone sessions, live chat, and text-based messaging to meet differing needs and lifestyles. These options make it easier to access consistent care from Arizona without commuting, support continuity during life transitions, and allow clients to choose the communication style that feels most comfortable.

Frequently asked questions

What concerns does Larissa commonly address?

She works with a wide range of issues including stress, anxiety, depression, grief, relationship and family problems, addictions, trauma and abuse, eating and sleeping difficulties, parenting challenges, ADHD, and related areas.

What therapeutic styles does she use in sessions?

Their approach draws on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy to match strategies to client needs.

How long has she practiced as a counselor?

She brings 22 years of counseling experience, including work as a school counselor, suicide hotline supervisor, probation counselor, and telehealth clinician.

What are her credentials and where is she located?

She is a Licensed Professional Counselor (LPC) practicing in Arizona; her credential is listed as AZ LPC LPC-11014.

Does she conduct sessions in other languages or accept international clients?

Sessions are offered in English only, and she is not currently accepting international clients.

Which session formats are available for online work?

Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

What does therapy cost and how are sessions billed?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

How do I begin working with her?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsGrief Depression

Also works with

AddictionsLGBTTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHoardingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

22+ years

Licensed

Arizona

Languages

English