Leianne Trefry, LMHC

Leianne Trefry is a licensed mental health counselor (LMHC) in Washington who uses straightforward, practical methods to help people manage stress, anxiety, depression, and addiction concerns. She focuses on building everyday skills that make life feel more manageable. Leianne aims to meet people where they are and offer calm, respectful support.

She uses Cognitive Behavioral Therapy to identify unhelpful thinking patterns and practice small behavior changes that lead to clearer results. Client-Centered Therapy guides how she listens - giving people space to describe what matters most while shaping the pace of sessions around their needs. Dialectical Behavior Therapy and mindfulness tools are used when emotional regulation and grounding skills can help reduce overwhelm.

Leianne has over 11 years of professional experience providing care across a wide range of issues. Common topics she addresses include trauma and abuse, self-esteem, relationship communication problems, and both drug and alcohol addiction. She also supports people facing chronic illness, caregiving stress, divorce and separation, grief, and body image concerns.

Sessions focus on practical strategies, clear goals, and collaborative planning. Leianne uses motivational interviewing when someone needs help finding the next small step toward change. Her approach aims to be direct, warm, and centered on what the person wants to achieve.

Leianne conducts work in English and holds a Washington LMHC credential. She describes therapy as a joint effort and helps people create concrete plans for coping, recovery, and longer-term well-being.

Practical approaches for online care and skill building

Leianne draws on Cognitive Behavioral Therapy to help people notice unhelpful thoughts and test small behavior changes that reduce anxiety and low mood. CBT focuses on clear steps and practice between sessions to build new habits. She also uses Client-Centered Therapy, which emphasizes careful listening and tailoring the pace and goals to each persons needs, giving people space to name what matters most.

Dialectical Behavior Therapy skills are included when emotional regulation and distress tolerance are needed, offering tools for managing strong feelings and reducing reactive behavior. Choosing the right mix of methods is collaborative; the therapist and client work together to decide what fits the person's goals, preferences, and daily life. Adjustments are made as needed so the plan stays relevant.

Online formats include video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video works well for face-to-face conversation and guided skills practice. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and messaging allow for quick reminders, brief check-ins, or ongoing support between longer sessions. These options make it easier to fit therapy into work, caregiving, and busy schedules while focusing on usable skills.