Leianne Trefry , LMHC

Leianne Trefry is a licensed mental health counselor who centers sessions on the client's experience. She combines listening with practical steps to help people manage stress, anxiety, addiction concerns, trauma, low self-esteem, and depression.

Leianne works from a person-focused stance that values respect and sensitivity. She starts by hearing what matters most to each person and then shapes conversations to match their needs. This makes sessions feel more personal and easier to follow.

Her work draws on approaches such as cognitive behavioral techniques and dialectical behavior ideas to help change unhelpful patterns. She also uses mindfulness and motivational interviewing to build daily coping skills and strengthen commitment to goals. These methods are shared in simple, concrete ways during sessions.

With eleven years of experience in Washington settings, Leianne has supported people dealing with many related issues. These include abandonment, blended family concerns, body image, chronic illness and pain, codependency, communication problems, dissociation, and substance use challenges.

Leianne aims to partner with people who want practical tools and steady support while they make changes. She explains options clearly, checks in about how things are going, and adjusts plans as needed. The goal is to help people feel more confident and better able to manage day-to-day challenges.

Approach-driven online therapy that fits your life

Leianne draws on cognitive behavioral therapy and dialectical behavior therapy to guide online work. Cognitive behavioral therapy focuses on identifying and changing thoughts and behaviors that keep stress and anxiety strong, which can help with low mood and unhelpful habits. Dialectical behavior therapy emphasizes emotional regulation, distress tolerance, and clearer communication, which can be useful for strong emotions and patterns that lead to conflict or self-sabotage.

Finding the right approach is part of the process and she treats it as a collaboration. The therapist and client will talk about goals, try techniques, and adjust the plan based on what helps most. That way the work stays practical and aligned with the client's needs and preferences.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video calls let people use visual cues and longer conversation. Phone sessions require less bandwidth and can fit during a work break. Live chat or text-based messaging can support brief check-ins, assignment follow-up, or ongoing encouragement between sessions. These options make it easier to keep therapy consistent while managing day-to-day demands.