Leianne Trefry, LMHC
Compassionate LMHC for anxiety and addiction
- Anxiety and stress
- Addictions support
- Trauma-informed care
About Leianne Trefry
Leianne Trefry is a Washington-licensed clinician with 11 years of professional experience who focuses on helping people navigate stress, anxiety, addictions, trauma and abuse, depression, and challenges with self-esteem and motivation. As an LMHC - which stands for Licensed Mental Health Counselor - she draws on evidence-based methods and a compassionate style to meet each person where they are.
She approaches care with respect, sensitivity, and an emphasis on empowerment, tailoring conversations and treatment plans to the unique circumstances and goals of each individual. Her work includes support for related concerns such as abandonment, adoption and foster care issues, chronic illness and pain, relationship and communication difficulties, codependency, and substance use challenges.
Leianne frames therapy as a collaborative process, acknowledging that seeking change takes courage and that meaningful progress often begins with small, steady steps. She aims to provide practical tools and encouragement so people can build confidence, improve coping, and pursue a more fulfilling life on their own terms.
She approaches care with respect, sensitivity, and an emphasis on empowerment, tailoring conversations and treatment plans to the unique circumstances and goals of each individual. Her work includes support for related concerns such as abandonment, adoption and foster care issues, chronic illness and pain, relationship and communication difficulties, codependency, and substance use challenges.
Leianne frames therapy as a collaborative process, acknowledging that seeking change takes courage and that meaningful progress often begins with small, steady steps. She aims to provide practical tools and encouragement so people can build confidence, improve coping, and pursue a more fulfilling life on their own terms.
Areas of Expertise
Additional Focus Areas
AbandonmentAdoption and foster careAging and geriatric issuesBlended family issuesBody imageCancerChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisPanic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues
Therapeutic Approach
Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Leianne Trefry have?
Leianne Trefry has 11 years of professional experience.
Is Leianne Trefry a licensed therapist?
Yes. She holds the credential LMHC, which means Licensed Mental Health Counselor. License details are WA LMHC LH60835729.
In which languages does Leianne Trefry provide therapy?
Leianne Trefry provides therapy in English.
Where is Leianne Trefry located?
Leianne Trefry is located in Washington.
How can I work with Leianne Trefry as my therapist?
You can work with Leianne Trefry through video calls, phone sessions, live chat, or text-based messaging.
Does Leianne Trefry work with international clients?
Leianne Trefry does not currently work with international clients.
How much does therapy with Leianne Trefry cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Approaches to Care and Online Therapy Options
Leianne combines client-centered approaches with practical strategies to support change. Client-Centered Therapy emphasizes empathy and collaboration, allowing the person to set the pace and goals while the therapist offers understanding and reflective feedback to strengthen self-awareness and confidence.Cognitive Behavioral Therapy (CBT) helps people identify and shift unhelpful thought patterns and behaviors. It is commonly used for anxiety, depression, stress, and many everyday challenges by teaching skills for managing symptoms and solving problems.
Motivational Interviewing focuses on building motivation for change, particularly helpful for addictions and ambivalence about goals. It uses respectful, goal-focused conversations to help people clarify their values and take practical steps forward.
Finding the right combination of approaches is part of the therapeutic process. Leianne works collaboratively with each person to determine which methods best match their needs, goals, and preferences, adjusting the plan over time as progress and priorities evolve.
Online therapy offers flexible ways to engage through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access support from home or other convenient locations, while working with licensed professionals to pursue meaningful change.