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LPC

Larissa Rzemienski, LPC

  • Experience22 years
  • LocationArizona
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Larissa

Larissa Rzemienski welcomes clients seeking practical, compassionate support for everyday challenges and longer-lasting struggles. As an LPC with more than two decades of clinical experience in Arizona, she guides people dealing with anxiety, depression, grief, relationship and intimacy concerns, and attention-related difficulties such as ADHD.

Background and approach

She blends structured skills work with attention to personal values and relationships to create care that fits individual goals. Her background includes school counseling, crisis work, probation counseling, tele-health practice, and supervising a suicide hotline, which contribute to a flexible, experienced perspective on care.

She also teaches graduate counseling students and brings mindfulness and movement practices into her life as a yoga teacher, which inform a holistic, grounded style. Larissa adapts evidence-based methods including cognitive behavioral techniques, acceptance and commitment principles, attachment-informed strategies, client-centered care, and dialectical skills to meet each person where they are.

Sessions are offered via video, phone, live chat, or text-based messaging to accommodate different preferences and schedules. She is based in Arizona and works in English, helping clients explore coping skills, values-driven choices, and practical steps toward better day-to-day functioning.

Evidence-based approaches adapted for online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and develop small, practical steps to live by those values while tolerating difficult thoughts and feelings. This approach is useful for stress, anxiety, life transitions, and challenges that involve motivation or meaning. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and building concrete skills to change behaviors and emotional responses, which can help with anxiety, depression, sleep and eating problems, and mood regulation. Attachment-Based Therapy explores patterns of relating that developed in close relationships and works to build safer, more reliable ways of connecting with others, which is helpful for intimacy, relationship difficulties, and attachment concerns.

Finding the right approach is a collaborative process; the therapist will work with each person to choose and adapt techniques based on symptoms, goals, and personal preferences. Treatment plans are shaped together so methods and pacing fit the client’s life and needs.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats allow people to engage in therapy from home or during busy schedules, keep continuity when life changes, and use different ways of communicating to practice skills between sessions.

Frequently asked questions

What kinds of concerns does this therapist address?
She works with a broad range of issues including stress, anxiety, depression, grief, relationship and intimacy challenges, addictions, ADHD, and many other life adjustments and mood concerns.
How would she describe her therapeutic style?
Her approach combines client-centered care with evidence-based techniques such as CBT, DBT, ACT, and attachment-informed work so therapy blends skills training, values work, and relational understanding.
What is her professional background and experience?
She has 22 years of counseling experience, including roles as a school counselor, probation counselor, suicide hotline supervisor, tele-health counselor, and educator for graduate counseling students.
Where is she licensed and practicing?
She is a Licensed Professional Counselor (LPC) practicing in Arizona with license AZ LPC LPC-11014 and provides services from that state.
Does she offer services in other languages or accept international clients?
Sessions are offered in English, and she is not accepting international clients at this time.
What session formats are available for working together?
Appointments can take place by video call, phone session, live chat, or text-based messaging to match different schedules and comfort levels.
How are fees and payment handled?
Costs vary by location and therapist availability; services use a subscription model that can be canceled at any time.
What are the steps to begin therapy with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.

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

Licensed

Arizona

Languages

English

What Larissa can help with

Larissa Rzemienski works with clients on stress and anxiety, relationship issues, family conflicts, grief, and depression.

Larissa works with clients of all ages and with anxiety, depression, and relationship issues.

How Larissa approaches therapy

Larissa's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Existential Therapy, and Mindfulness Therapy.

Experience and training

Larissa is a Licensed Professional Counselor practicing in Arizona.