About Leianne
Leianne Trefry uses a client-centered approach that keeps the person's goals and experience at the center of care. She blends practical methods like cognitive behavioral techniques and dialectical behavior tools to help people manage stress, anxiety, addictions, trauma, low self-esteem, and depression.
Leianne is a Licensed Mental Health Counselor, or LMHC, practicing in Washington and brings 11 years of professional experience to her work. Her sessions focus on clear, doable steps.
Background and approach
She listens first and then helps clients try new ways of thinking and coping. That can mean practicing mindfulness skills, breaking problems into smaller parts, or developing motivation to change habits related to substance use and other addictions. Leianne also addresses issues that can be connected to mental health.
These include abandonment or adoption and foster care concerns, blended family stress, body image, chronic illness and pain, cancer-related distress, codependency, communication problems, control issues, dissociation, and the effects of domestic violence and divorce. She aims to create a respectful and compassionate environment and adapts conversations to each person’s needs. Sessions are practical and focused on what matters most to the individual.
Leianne emphasizes collaboration so clients leave with tools they can use between meetings. People who want short-term skills or longer-term support can work with her on building confidence, coping strategies, and motivation for change. Her work is straightforward and grounded in methods that help with everyday challenges.
How Leianne’s approaches work in online therapy
Leianne commonly uses client-centered therapy and cognitive behavioral therapy to guide online sessions. Client-centered therapy focuses on listening and understanding a person’s goals so the work follows their lead; it helps when someone needs empathy and a space to sort out what matters most. Cognitive behavioral therapy breaks problems into thoughts, feelings, and actions and teaches practical techniques to change unhelpful patterns, which is useful for anxiety, depression, and stress.She also draws on dialectical behavior therapy skills for emotion regulation and interpersonal effectiveness when intense feelings or relationship patterns are part of the concern. Together, these approaches give a mix of support, concrete tools, and skills practice. Deciding which approach to emphasize is a shared process; the therapist and client review goals, try methods, and adjust as needed to find the best fit.
Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different days and needs. Video is good for deeper conversations and skills practice, while phone calls can work when bandwidth is limited. Short check-ins or written messaging can help maintain momentum between sessions. These options make it easier to fit therapy into a busy life and to keep working on progress across time.
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Specialties and expertise
Top specialties
Also works with
- 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
- Depression
- 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
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 11 years
- Licensed
- Washington
- Languages
- English