Leianne Trefry, LMHC
Compassionate counselor who centers your story
Details
| Name | Leianne Trefry |
|---|---|
| Credentials | LMHC |
| Based in | Washington |
| Licensed in | Washington |
| Session format | Online |
| Languages | English |
| Years in practice | 11 |
About Leianne
Leianne Trefry is a Licensed Mental Health Counselor (LMHC) practicing in Washington with 11 years of experience. She focuses on helping people manage stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression in straightforward, practical ways. Leianne uses Narrative Therapy alongside Client-Centered and cognitive approaches to help people tell their story and find new meanings.
Sessions are conversational and focused on clear goals. She tailors discussions to each person's needs rather than following a one-size-fits-all plan.
Background and approach
Clients often work on coping skills for overwhelming feelings, motivation to change addictive patterns, and rebuilding confidence after difficult experiences. Leianne includes mindfulness and some Dialectical Behavior Therapy strategies when helpful to manage intense emotions and improve day-to-day functioning.
Her background includes more than a decade of clinical work across a range of concerns, including chronic illness, caregiving stress, grief, and relationship communication problems. That variety informs a practical, adaptable approach that keeps the person's priorities central. Leianne aims to create a respectful, compassionate space for people to examine patterns and try new ways of responding.
She supports clear next steps and homework when that helps progress. The work is collaborative and paced to each person's readiness.
What this therapist works with
Her listing names Stress, Anxiety, Addictions, Trauma and abuse among the things Leianne works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Self esteem
- Depression
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Body image
- Cancer
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Panic disorder and panic attacks
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Client-Centered Therapy: Listed by Leianne among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Leianne among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Leianne among the ways she works.
- Mindfulness Therapy: Listed by Leianne among the ways she works.
- Motivational Interviewing: Listed by Leianne among the ways she works.
- Solution-Focused Therapy: Listed by Leianne among the ways she works.
- Trauma-Focused Therapy: Listed by Leianne among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Leianne directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Leianne directly how she uses it and what a session usually looks like.
Online session options
How narrative and skill-based methods translate online
Leianne combines Narrative Therapy with Client-Centered work and Cognitive Behavioral Therapy in online sessions. Narrative Therapy helps people step back and look at the stories they tell about themselves, which can clarify patterns and open new possibilities. Client-Centered Therapy focuses on listening and meeting each person where they are, making sessions feel respectful and individualized. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions so people can try small, practical changes and notice different results.Choosing the best approach is a collaborative process. Leianne will talk with each person about their goals and preferences, then try methods that fit. The therapist adjusts strategies over time based on what is working and what the person finds helpful.
Online work uses video calls, phone sessions, live chat, or text-based messaging to offer flexibility. Video is useful for deeper conversations and practicing skills together. Phone sessions can be easier when bandwidth is limited or a person prefers not to be on camera. Live chat and text-based messaging are helpful for brief check-ins, daily coaching, or when someone wants to process thoughts in writing. These options make it simpler to fit therapy into busy lives and to continue momentum between longer sessions.
Common questions about this listing
What concerns does Leianne commonly address?
She helps people with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional areas include grief, chronic illness, communication problems, and substance use issues.
What is her therapeutic style like?
Her style is collaborative and conversational, using Narrative and Client-Centered approaches to help people reframe their stories. Practical skills from CBT and DBT are added when useful for managing emotions and behavior.
How much experience does she have?
Leianne brings 11 years of professional experience working with a wide range of mental health and life concerns. That experience includes supporting people through trauma, addiction recovery, and chronic health challenges.
What are her credentials and location?
She is a Licensed Mental Health Counselor, LMHC, licensed in Washington. Her practice is listed as located in Washington state.
Which languages are supported and are international clients possible?
Sessions are offered in English. She does not accept international clients at this time.
What session formats does she offer?
Leianne conducts sessions via video calls, phone sessions, live chat, and text-based messaging. These options let people choose what fits their schedule and communication preferences.
How is cost handled for sessions?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule sessions based on the therapist's availability.
Contacting this therapist
Sessions with Leianne are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Leianne where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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