Hello and Welcome to Katherine Flechaus Counseling & Consulting

Online Therapy for Adults in New York and Florida

Is This You?

You're successful by most measures — your career, your relationships, how you show up for everyone else. But privately, something feels harder than it should:

• You replay conversations long after they're over, wondering if you said the wrong thing

• Saying "no" comes with a wave of guilt, so you rarely do

• You're exhausted in a way that rest doesn't seem to fix

• A big decision — a career move, a relationship, a next chapter

  — has you stuck in your head instead of moving forward

• Old relationship patterns keep showing up, even when you've tried to leave them behind

• You've tried "just talking it out" before, and you're ready for something more structured

If this sounds familiar, you're exactly who I work with.

What We Work On:

Anxiety & Overthinking:

Racing thoughts, constant worry, replaying conversations, difficulty being present — even when things are objectively going well.

Burnout & Low Mood:

Exhaustion that rest doesn't fix, a sense of flatness or sadness that built up so gradually you almost didn't notice.

Career Transitions & Hard Decisions:

Staying stuck between options, questioning a path you've already invested years in, or struggling to trust your own judgment on what's next.

People-Pleasing & Boundaries:

Saying yes when you mean no, guilt around disappointing others, losing your own needs in the process of managing everyone else's.

Relationship Patterns & Past Relationship Trauma:

Repeating dynamics that don't serve you, difficulty trusting, or carrying the effects of a past relationship into current ones.

Each of these areas is addressed using CBT — practical, structured, and tailored to you.