Evidence-Based Online Therapy In New York and Florida

How CBT Can Help Change How You Think About Yourself

You may be here because something in your life feels stuck, overwhelming, or out of alignment.

Are you struggling with anxiety or self-doubt?

Are you constantly worried about professional failure?

Do you find yourself waking up in the middle of the night with your inner critic mercilessly berating you for decisions you made or things you should have said?

Is your anxiety activated by the feeling that you still need to prove yourself, your worth, your skills?

Does all this anxiety monopolize your emotional bandwidth, leaving you feeling disconnected from the people most important to you?

I want you to know: it makes sense, and you’re not alone.

My Approach to Therapy

My work is grounded in evidence-based Cognitive Behavioral Therapy (CBT), which clarifies the connection between thoughts, feelings, and behaviors. CBT offers practical, experiential strategies to shift unhelpful thinking patterns so you can change how you respond to difficult emotions and situations.

I take this approach a step further by exploring your personal anxiety origin story—the experiences and beliefs that shaped your inner dialogue. Recognizing where anxious thoughts, chronic worry, or perfectionistic tendencies began helps us target the root causes of your anxiety rather than only managing symptoms. This exploration is never about blame or staying stuck in the past; it’s about using insight to create change in the present.

From this foundation, we’ll create personalized CBT strategies that fit your unique beliefs and challenges. These evidence-based tools help break cycles of overthinking, quiet negative self-talk, and foster a more realistic and compassionate view of yourself.

This deeper, individualized process supports lasting transformation—helping you overcome old barriers, build resilience against your inner critic or Imposter Syndrome, and cultivate self-trust and confidence. The result is both immediate relief and long-term growth..

Why I Do This Work

My path to becoming a therapist began early in life. As the middle child, I naturally became the problem-solver and confidant. I learned to be “nice,” to put others first, and to downplay my own strengths and believe that these strengths were the result of outside forcesinstead of intrinsic worth.

As a female student, I learned to stay quiet, be reserved, and let others shine. Looking back, it is no surprise that I was drawn to a helping profession, ultimately earning both my Bachelor’s and Master’s in Social Work.

My work has taught me how deeply socialization can shape us: girls are often encouraged to be agreeable, self-sacrificing, and helpful, sometimes at the cost of their own self-esteem and confidence; boys are often told to be strong and hide their feelings, which can leave them angry or misunderstood. Some people have experienced varying degrees of being bullied, which slowly and persistently erodes self-worth. Others have learned to believe that the gateway to acceptance is doing for others at the expense of themselves. These unspoken lessons shape our self-perception, our relationships, and the beliefs we carry into adulthood.

My work has evolved from focusing on “mental illness” as a set of symptoms to be fixed to viewing mental health as a path of resilience, action, and transformation. I’ve learned, through personal and professional experiences, that growth is always possible. Even in the face of profound challenges, people are capable of meaningful, lasting change.

This belief — that with support and new skills — people can create lives aligned with their authentic selves — is why I do this work.

Who I Work With

I specialize in working with adults navigating:

• Anxiety, overthinking, and impostor syndrome

• Depression due to low self-esteem and feelings of not being good enough

• Burnout and seeking work–life balance

• Imposter Syndrome

If you’re feeling stuck, disconnected, or unsure of your next step—I can help you embrace change with support and direction.

My Practice Today

Katherine Flechaus Counseling is a 100% virtual practice. I provide secure, HIPAA-compliant telehealth therapy for adults in Florida and New York, allowing you to get support from the comfort of your own home.

You don’t have to have it all figured out, you just need to get started.

My Mission

My mission is to create a safe, respectful space where adults can explore emotional challenges, develop greater self-awareness, and reconnect with their strengths. Through a whole-person, evidence-based approach, I support you in building the tools and insight needed to move forward with clarity, confidence, and self-trust.

Core Values

Everything I do is grounded in these core beliefs:

• Dignity & Respect – Every person deserves to be seen and heard without judgment.

• Growth Is Always Possible – Healing and change happen when we feel safe enough to explore.

• Whole-Person Perspective – Your mind, body, and lived experiences are all part of the story.

• Compassionate Curiosity – Asking thoughtful questions can open the door to meaningful insight and action.

• Collaboration Over Correction – Therapy isn’t about fixing you; it’s about working together to uncover your inner wisdom.

Credentials & Education

• Licensed Clinical Social Worker (LCSW)

  • Licensed in Florida and New York

• Master of Social Work (MSW)

• Graduate of Rochester Institute of Technology BSW program

• Graduate of Syracuse University MSW program

• 30+ years of experience in health and mental wellness