Therapist listings are provided by BetterHelp. We will earn a commission at no extra cost to you if you use our links to buy.

Larissa Rzemienski

Therapist · Arizona

Larissa Rzemienski, LPC

Compassionate, experienced counselor focused on life challenges

Continue with Larissa

Review online therapy options on BetterHelp.

  • Over 22 years experience
  • Client-centered approach
  • Telehealth experience

About Larissa

Larissa Rzemienski is a Licensed Professional Counselor (LPC) who helps people manage stress, anxiety, grief, and changes that come with illness or life transitions. She works with individuals facing depression, relationship and intimacy challenges, parenting strain, addiction concerns, ADHD, and issues around self-esteem and career direction. Larissa speaks English and practices from Arizona, blending practical tools with thoughtful listening.

She brings over 22 years of counseling experience across many settings. Her background includes school counseling, supervising a suicide hotline, probation counseling, and telehealth work with teens and adults. She also teaches counseling students and leads yoga classes, and she notes that virtual sessions have been part of her practice for several years.

Larissa uses approaches such as client-centered therapy, cognitive behavioral therapy (CBT), and elements of acceptance and commitment therapy (ACT) and attachment-based work. In sessions she helps people notice what matters to them, try specific skills to reduce distress, and make small changes that fit their daily life. She adapts methods to each person rather than following a single protocol.

Her prior roles give her experience with crisis-adjacent situations, school systems, and probation settings, which informs practical problem solving in therapy. She also supports people coping with chronic pain, illness, caregiving stress, blended family issues, and recovery from trauma or loss.

Outside of clinical work Larissa teaches, practices yoga, hikes, and spends time with her college-age daughter and pet rabbit. She uses a conversational, goal-oriented style and asks clients to set priorities so sessions stay focused and useful.

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 therapeutic approaches translate to online care

Larissa draws on cognitive behavioral therapy (CBT) and client-centered therapy in online sessions. CBT focuses on identifying unhelpful thoughts and testing small behavioral changes to reduce anxiety, depression, and problematic habits. Client-centered therapy centers the client's perspective, using listening and reflection to help people clarify values and goals.

Finding the right approach is a collaborative process. She will work with each person to decide which methods fit their needs and preferences, checking in and adjusting as goals evolve. Clients are invited to set priorities so sessions stay practical and relevant.

Telehealth can make it easier to fit therapy into a busy life by removing travel and allowing sessions during work breaks or between appointments. Messaging, phone, and video have been part of her practice in the past, but prospective clients should confirm current session options before booking. Online sessions can support skill practice between meetings and allow follow-up check-ins that help maintain progress over time.

Frequently asked questions

What concerns does Larissa help with?

Larissa addresses a broad range of issues including stress, anxiety, depression, grief, addictions, relationship and intimacy challenges, parenting strain, ADHD, chronic pain and illness, and coping with life changes.

What is her therapy style like?

She uses a conversational, client-centered style and blends practical skills with reflective work. Expect goal-focused sessions that mix skill practice with discussion about values and priorities.

How much clinical experience does she have?

She has worked in counseling for about 22 years, including roles as a school counselor, suicide hotline supervisor, probation counselor, and telehealth clinician.

What credentials and region apply?

She is a Licensed Professional Counselor (LPC) licensed in Arizona and lives and practices in Arizona.

Which languages and international options are available?

Sessions are offered in English and she does not accept international clients at this time.

What session formats are used?

The biography notes experience with telehealth and mentions messenger, phone, and video as ways she has worked; confirm current session options before booking.

How are costs handled?

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

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.

Back to all therapists

Larissa RzemienskiReview online therapy options on BetterHelp.

Continue with Larissa