Larissa Rzemienski, LPC

Larissa Rzemienski is a Licensed Professional Counselor (LPC) based in Arizona. She brings 22 years of counseling experience and a straightforward, practical style. She works with people facing anxiety, depression, grief, relationship strain, addiction concerns, parenting stress, ADHD, and related issues.

Larissa earned a Master of Counseling in 2001 and an Educational Specialist (Ed.S.) degree in Educational Leadership. She also holds a Bachelor of Science in Psychology and an MBA in Marketing. Her background includes roles as a suicide hotline supervisor, probation counselor, high school guidance counselor, and telehealth clinician.

She uses a mix of approaches to match each person's needs. Cognitive Behavioral Therapy (CBT) is part of her toolbox, along with Acceptance and Commitment Therapy, Attachment-Based work, Client-Centered methods, and Dialectical Behavior Therapy. Sessions focus on practical steps, clearer thinking, and skills people can use between meetings.

Larissa has taught master-level counseling students and has been providing virtual counseling for several years. She is comfortable offering sessions by video call, phone, live chat, or text messaging, and she often helps people adapt therapy to busy schedules.

Outside of counseling she teaches yoga, enjoys hiking, follows psychology and history, and spends time with her college-age daughter and pet rabbit. She aims to make sessions useful, direct, and geared to each person's goals.

Practical therapy methods for online care

Larissa commonly draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy when working online. CBT helps people identify unhelpful thinking patterns and try new behaviors step by step, which can be useful for anxiety, depression, sleep, and anger. ACT focuses on clarifying values and learning acceptance skills so people can act toward what matters even when emotions are strong; it often helps with grief, chronic conditions, and life changes.

She also uses Attachment-Based ideas to look at how early relationships shape trust and connection, and to support people who struggle with abandonment, commitment, or close relationships. Finding the right approach is a collaborative process. The therapist will discuss goals, try methods together, and adjust strategies based on what feels most effective for the person's life and preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for full sessions and visual cues, phone calls work when bandwidth is limited or a shorter check-in is needed, and messaging can help with brief updates, coping tools, or between-session support. These options make it easier to fit therapy into work, school, or caregiving schedules while keeping consistent progress.