LMFTTherapists

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PK Portrait of Dr. Pamela Kayanan

Dr. Pamela Kayanan, LPC, LMFT

Practical, person-centered help for change

About Pamela

Dr. Pamela Kayanan uses a practical, person-centered style to help people make change.

Background and approach

She is a Licensed Professional Counselor and a Licensed Marriage and Family Therapist who has practiced in Virginia for 25 years. Her approach is straightforward and focused on what will help now.

She draws on Client-Centered Therapy to listen and understand a person's priorities. She pairs that with Cognitive Behavioral Therapy to identify unhelpful thinking and with Dialectical Behavior Therapy skills for emotion regulation.

Motivational Interviewing helps people find the reasons they want to change and take small steps toward those goals. Her work often focuses on anxiety and depression, including trauma and post-traumatic stress.

She also supports people dealing with addictions of many kinds, from substances to behavioral patterns. Relationship and intimacy issues, parenting stress, anger, and self-esteem are also common concerns she addresses.

Dr. Kayanan has experience with complex situations such as attachment and blended family issues, caregiver stress, codependency, and communication problems.

She has worked with first responders and veterans around mood disorders and trauma-related concerns. Practical coping strategies, clearer communication, and gradual behavior change are typical parts of her sessions.

Sessions are offered in English and can be delivered online. People who choose to begin work complete a brief matching questionnaire and schedule sessions to fit their lives.

How different approaches work online

Client-Centered Therapy starts by listening closely to what matters to the person and helping them set goals. It focuses on understanding a person's concerns and building a collaborative relationship to guide next steps. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and uses clear exercises to change patterns that lead to anxiety or low mood. Dialectical Behavior Therapy (DBT) offers practical skills for managing intense emotions and improving relationships, like grounding, distress-tolerance, and communication techniques.

Finding the right approach is part of the work. The therapist will discuss options and try methods that match a person's needs and preferences. Goals, pace, and homework are set together so the plan stays useful and realistic.

Online sessions make it easier to fit therapy into a busy life. Video calls work well for in-depth conversations and skill practice. Phone sessions can be simpler when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people share thoughts between sessions and get quick support or assignment check-ins. These formats offer flexibility and multiple ways to keep progress moving forward.

Frequently asked questions

What kinds of problems does she address?
She helps with anxiety, depression, trauma and abuse, and many forms of addiction, along with relationship and intimacy concerns and parenting stress.
What is her therapeutic style?
Her style is client-centered and practical, blending Cognitive Behavioral Therapy, Dialectical Behavior Therapy skills, and Motivational Interviewing to create a plan that fits each person.
How much clinical experience does she have?
She has 25 years of clinical experience working in counseling and related settings.
What are her credentials and where is she based?
She holds LPC and LMFT credentials and practices in Virginia.
Can people who live outside the US work with her?
Yes, she accepts international clients and offers sessions across borders in English.
Which session formats are available?
Sessions can take place via video calls, phone sessions, live chat, or text-based messaging.
How is cost handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What do I need to do to start?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.