Evidence-Based Online Therapy In New York and Florida

Evidence-Based Online Therapy in New York and Florida

Something in your life feels stuck, overwhelming, or out of alignment.

• Maybe it's anxiety or self-doubt that won't quiet down.

• Maybe you're always the one taking care of everyone else's needs before your own.

• Maybe you've woken up at 2am wondering why you said yes again, when everything in you wanted to say no.

If these feelings are taking up more emotional bandwidth than you have to give

— leaving you feeling disconnected even from the people who matter most

— it makes sense.

And you're not alone in it

My Approach

My work is grounded in evidence-based Cognitive Behavioral Therapy (CBT), which clarifies the connection between your thoughts, feelings, and behaviors. CBT gives us practical, hands-on strategies to shift unhelpful thinking patterns, so you can change how you respond to difficult emotions and situations — not just talk about them.

I take this a step further by exploring the origin story behind your patterns — the experiences and beliefs that shaped how you think, feel, and relate to others today. Understanding where your anxiety, low mood, relationship patterns, or self-doubt first took root helps us target root causes, not just manage symptoms. This isn't about dwelling in the past or assigning blame — it's about using insight to create change now.

From there, we build CBT strategies tailored to your specific beliefs and challenges — tools that break cycles of overthinking, quiet the inner critic, and build a more realistic, compassionate view of yourself. The result is both immediate relief and lasting change.

Why I Do This Work

My path to this work started early. As the middle child, I became the family's natural problem-solver and confidant — the one who learned to put others first and stay quiet about my own needs. As a young woman, I learned much the same lesson: be agreeable, be helpful, let others take the spotlight. That experience shaped how I understand my clients now.

Socialization runs deep

— many women learn early to be self-sacrificing, often at real cost to their own confidence;

— many men learn to hide what they feel, which can surface later as anger or disconnection.

Some people carry the long aftereffects of being bullied or excluded. Others learned that acceptance is something you earn by doing for others, not something you're owed simply by being yourself.

These early, often unspoken lessons shape

• how we see ourselves,

• how we show up in relationships, and

• what we believe we're allowed to need.

Over 30+ years, my work has shifted from treating mental health as a set of symptoms to fix, to understanding it as a capacity for resilience and change that's available to everyone — even in the face of real, longstanding challenges.

That belief, that people can build lives aligned with who they actually are, is why I still do this work.

Who I Work With

I work with high-functioning professional — often successful in their careers and relied on by everyone around them — who feel privately burnt out, stuck in perfectionism or people-pleasing, or unsure of their next step. My clients are usually not looking to just process their week; they want practical tools that create real, measurable change.

If you're feeling stuck, disconnected from yourself, or ready for something more structured than talking in circles, I can help you find direction again.

My Practice Today

Katherine Flechaus Counseling & Consulting is a 100% virtual practice.

I provide secure, HIPAA-compliant telehealth therapy for adults in Florida and New York, so you can get support from wherever you are.

You don't need to have it all figured out. You just need to get started.