What services does Katherine Flechaus Counseling offer?

I provide virtual therapy for adults in Florida and New York, specializing in anxiety, depression, burnout, people-pleasing, and relationship struggles — including recovering from past relationship trauma. Sessions are personalized and grounded in evidence-based approaches, primarily Cognitive Behavioral Therapy (CBT).

What is Cognitive Behavioral Therapy (CBT), and how does it work?

CBT is an evidence-based approach that helps you identify the connection between your thoughts, emotions, and behaviors — and shift the patterns that keep you stuck. In practice, this means we don't just talk about what's going on; we identify specific thinking patterns, test them against reality, and build practical strategies you can use between sessions, so change happens both in the room and in your daily life.

How is CBT different from regular talk therapy?

Talk therapy often focuses on processing feelings through open conversation. CBT is more structured and goal-oriented — we identify specific patterns driving your anxiety, low mood, or relationship struggles, and work through targeted exercises and strategies to change them. Many of my clients come to me because they've tried "just talking about it" before and are ready for something more active and practical.

Who do you work with?

I work with adults — often high-functioning professionals — navigating anxiety, depression, burnout, people-pleasing, career transitions, or difficult relationship patterns. My clients are typically reflective, growth-oriented, and looking for lasting, practical change rather than just a space to vent.

Is online therapy as effective as in-person therapy?

Research shows telehealth therapy is as effective as in-person therapy for most concerns, including anxiety and depression. All of my sessions are provided via secure, HIPAA-compliant telehealth, so you can attend from home, work, or anywhere private — without the added time and stress of commuting to an office.

Do you offer therapy in Florida and New York?

Yes. I'm a licensed therapist providing virtual therapy to adults located in Florida and New York. Therapists are required to be licensed in the state where their client lives, which is why I can only work with clients residing in these two states.

How do I know if therapy is right for me?

If you're feeling overwhelmed, anxious, low, or uncertain about a next step — in your career, a relationship, or your life more broadly — therapy can help you gain clarity and move forward with a clear plan. A free 15-minute consultation is a low-pressure way to talk it through and see if we're a good fit.

What can I expect in a first therapy session?

Your first session is a collaborative conversation about what's bringing you to therapy, your goals, and what's been getting in the way. There's no right or wrong way to answer — just space to be heard. We'll also cover scheduling, structure, and what the coming sessions will look like.

Do you take insurance?

Insurance coverage depends on a number of factors — your specific plan, whether I'm in-network with your provider, deductibles, and more. I'm happy to talk through your options and what might work best for your situation during your free consultation.

Do therapists have to be licensed in my state?

Yes. Therapists are legally required to be licensed in the state where their client lives. I'm licensed in Florida and New York, which is why I work only with clients residing in those states. You can verify any therapist's license through their state licensing board.

Is therapy confidential?

Yes. Confidentiality is a cornerstone of therapy. What you share stays private, with a few legal exceptions — such as risk of harm to yourself or others, or a court order. I'll walk through confidentiality in detail during your first session so you know exactly what to expect.

“I am so thankful and happy to have Katherine as my therapist. She makes me feel so comfortable and is so easy to talk to. I feel her warmth and kindness through every video session and I always look forward to my sessions. Even when I know they are going to be heavy, Katherine always gives me great exercises or feedback.”

verified client feedback