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Larissa Rzemienski

Larissa Rzemienski, LPC

Therapist · Arizona · 22+ years of experience

Compassionate, practical counseling for life transitions

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  • Midlife transition support
  • Practical coping tools
  • Telehealth experience

About Larissa

Larissa Rzemienski is a Licensed Professional Counselor (LPC) based in Arizona who helps people navigating midlife transitions, stress, anxiety, grief, and questions about meaning. She writes plainly and meets people where they are, offering straightforward conversation and practical steps to manage day-to-day challenges.

She has worked as a counselor for more than 22 years. Her background includes roles as a suicide hotline supervisor, probation counselor, telehealth counselor for teens and adults, and high school guidance counselor. She also teaches Master of Counseling students and leads yoga classes, and she brings those varied experiences into her clinical work.

Larissa uses several therapy approaches and adapts them to each person's needs. She often draws on client-centered methods and cognitive behavioral techniques to help people change unhelpful thinking and behaviors. She also works from attachment-based ideas to look at relationship patterns and their emotional roots.

Her experience with telehealth extends over several years, and she is comfortable having conversations by messenger, phone, or video when that fits the person's life. She also understands the strain of caregiving, chronic illness, parenting stress, and work-related burnout and brings practical tools for coping.

Outside of counseling, Larissa enjoys yoga, hiking, reading about psychology and history, investing, and spending time with her college-age daughter and her pet rabbit. People who want a clear, down-to-earth approach may find her style approachable and direct.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsGriefDepression

Also works with

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

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 OCDPanic 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

Credentials

Arizona

Languages

English

How her approaches guide online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values; it can help with anxiety, stress, and life transitions. Attachment-Based Therapy looks at patterns in close relationships to understand emotional needs and improve how people relate to others. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing thinking and behavior patterns that contribute to depression, anxiety, or unhealthy habits.

Finding the right approach is part of the work together. Larissa will talk with each person about goals and preferences and then suggest which methods to try. The choice of tools and exercises is collaborative and can shift as priorities change.

The biography notes experience with telehealth but does not list specific session formats here, so confirm current session options before booking. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and let people join sessions without travel time. Many people find virtual sessions helpful for maintaining momentum during life transitions and for using tools between meetings.

Frequently asked questions

What kinds of concerns does Larissa address?

She helps people with stress, anxiety, depression, grief, addictions, relationship and intimacy issues, parenting and family concerns, career strain, ADHD, and coping with life changes.

What is her general therapeutic style?

Her style is direct and client-centered, blending approaches like cognitive behavioral ideas, attachment-based thinking, and acceptance-focused work to match each person's needs.

How much experience does she have?

She has practiced as a counselor for 22 years in roles that include hotline supervision, probation work, school counseling, and telehealth services.

Where is she licensed and based?

She holds an Arizona LPC license and practices from Arizona.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are fees and billing handled?

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

How do I begin working with her?

Click the Start Therapy button, complete the short matching questionnaire, and schedule according to the therapist's availability.

Larissa Rzemienski Online therapy options on BetterHelp

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