Katherine Flechaus, LCSW

Katherine Flechaus is a licensed clinical social worker with 27 years of experience who uses Cognitive Behavioral Therapy as a core part of her practice. She focuses on helping adults manage anxiety, depression, self-esteem struggles, and stress from work or life transitions. Her approach is practical and collaborative, aimed at uncovering the thoughts and habits getting in the way of change.

She blends client-centered listening with solution-focused strategies to build short-term goals and steady progress. Sessions often include identifying unhelpful thinking patterns and trying new behaviors to shift daily routines. Narrative techniques are used when reframing a person’s story helps reduce shame and increase agency.

Katherine has a long history of working with people facing grief, trauma and abuse, and caregiver or hospice-related stress. She also helps with relationship and communication problems, infidelity, jealousy, and family of origin issues. Career concerns, workplace strain, midlife transitions, and questions about life purpose are part of her regular work.

Her style is straightforward and empathetic. She aims to make therapy feel like a team effort where the client’s goals guide each step. Practical tools are paired with gentle reflection so clients can try changes between sessions.

Therapy is offered from Florida, and Katherine holds LCSW credentials in both Florida and New York. Sessions can be scheduled by following the site’s matching and booking process.

CBT and Collaborative Approaches for Online Care

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety and depression. It uses clear steps and practical exercises that clients can practice between sessions to change how they feel and act.

Client-Centered Therapy emphasizes listening and building a trusting relationship where the person’s goals lead the work. This approach helps when people need a supportive space to reflect on self-esteem, relationships, or life transitions. Narrative Therapy helps people reframe difficult stories about themselves so shame and guilt have less control over choices.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what feels most useful. Together they decide whether to focus on thought work, skill building, or reshaping the story someone tells about their life.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video is good for fuller conversation and visual cues, phone works when bandwidth or screen time is limited, and chat or messaging can suit quick check-ins or shorter, flexible interactions. These options make it easier to fit therapy into a busy schedule and keep momentum between meetings.