Leianne Trefry

Practical, compassionate therapy with measurable tools

LMHC Washington

Experience: 11 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Leianne

Leianne Trefry is a licensed mental health counselor (LMHC) practicing in Washington who brings 11 years of professional experience to her work. She emphasizes cognitive behavioral therapy alongside client-centered and mindfulness-informed techniques to address stress, anxiety, addictions, trauma and abuse, self-esteem concerns, and depression.

Background and approach

Her approach is rooted in respect, sensitivity, and compassion while remaining practical and goal-oriented. Leianne individualizes conversations and treatment plans to reflect each person's circumstances and priorities, helping clients identify patterns, build skills, and strengthen motivation for change.

She also attends to related areas such as abandonment issues, adoption and foster care concerns, blended family dynamics, chronic illness and pain, codependency, communication challenges, dissociation, and substance-related problems. Leianne frames seeking help as a courageous first step and positions her role as a supportive collaborator in clients' efforts to create a more satisfying life.

Evidence-Informed Strategies for Online Care

Leianne integrates cognitive behavioral therapy (CBT) and client-centered approaches in online sessions. CBT focuses on identifying and shifting unhelpful thinking and behavior patterns to reduce symptoms of anxiety, depression, and stress, while offering practical skills for coping and relapse prevention. Client-centered therapy emphasizes an accepting, nonjudgmental therapeutic relationship where the therapist listens closely and helps clients clarify their goals and values.

Finding the right approach is part of the therapeutic process, and Leianne works collaboratively with each person to determine which methods fit their needs and preferences. She tailors interventions based on a client’s goals, current challenges, and strengths so that therapy feels relevant and actionable.

Online therapy with Leianne can be scheduled as video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different lifestyles and comfort levels. These options make it easier to maintain regular sessions, access care from home, and use skill-building between meetings, while accommodating varied schedules and communication styles.

Frequently asked questions

What kinds of concerns does this therapist help with?

Leianne works with stress, anxiety, addictions, trauma and abuse, self esteem, and depression, and she also addresses related topics such as abandonment, adoption and foster care, blended family issues, chronic pain and illness, codependency, and substance-related problems.

How would you describe the therapeutic style and approach?

Her practice draws on client-centered principles together with cognitive behavioral therapy, dialectical behavior therapy techniques, mindfulness, motivational interviewing, and narrative methods to tailor care to individual needs.

What is her professional background and experience level?

She has 11 years of professional experience working in mental health settings and with a range of clinical concerns related to mood, coping, and addictive behaviors.

What credentials and location are listed for this therapist?

She is a licensed mental health counselor in Washington with the credential WA LMHC LH60835729.

In which language does she provide services and can she see international clients?

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

What session formats are available for online work?

Leianne offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.

How are costs and billing handled for sessions?

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

What are the steps to begin working with this therapist?

To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Self esteem Depression

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesBlended family issuesBody imageCancerChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shame ImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisPanic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

11+ years

Licensed

Washington

Languages

English