Dr. Karina Rieke, PhD, LMHC-D

TherapistPoetAthlete

Doctoral-level counseling for individuals, couples, and families seeking thoughtful, evidence-based care — online in New York, Florida, and Nevada


I help people steady their minds through presence, movement, and words. I'm a bilingual therapist, poet, and runner who brings research-based mindfulness to TV audiences, stages, and therapy rooms.

Therapy here is grounded, collaborative, and tailored to the person in front of me. I work with adults, adolescents, couples, and families using evidence-based care, mindfulness, and an integrative approach that supports insight, resilience, and lasting change.

I also work with couples who want to strengthen communication, rebuild trust, and feel more connected in their relationship. Couples therapy here is thoughtful, direct, and focused on helping both partners understand each other more clearly. Explore The Space Between Us, my page on the issues couples face.

I also support people navigating anxiety, depression, life transitions, and longstanding emotional patterns that can feel difficult to shift alone. Therapy offers a steady space to better understand yourself, build new ways of coping, and move toward meaningful change.

Conferencista · Speaker — talks and workshops in English and Spanish on mental health, mindfulness and running, coaching, and couples and relationships.

  • PhD · LMHC-D
  • Licensed in NY & FL (LMHC) · NV (CPC)
  • 100% Online · Secure Video Sessions
  • USATF Certified Running Coach
  • Bilingual — English & Español

As seen on Univision & N+ Univision as a mental health expert

Services

Ways I Can Support You

Couples Therapy & Relationship Counseling

Strengthen your relationship and improve communication with personalized therapy designed to help couples navigate conflict, enhance emotional intimacy, and build lasting connections.

Learn More about couples counseling

Anxiety & Stress Management

Learn effective techniques to manage anxiety and stress, build resilience, and find calm through mindfulness practices, psychodynamic therapy, and cognitive behavioral therapy (CBT).

Learn More about anxiety therapy

Depression & Emotional Wellness

Overcome feelings of hopelessness and find renewed purpose with compassionate support and evidence-based treatment for managing depression and improving emotional well-being.

Learn More about depression therapy

Personality Disorders & Self-Discovery

Receive specialized care to understand and manage personality disorders, fostering personal growth, self-awareness, and emotional regulation to lead a fulfilling life.

Learn More about personality disorders therapy

My Integrative Approach: Combining Creative Expression, Movement, and Exploration for Holistic Healing.

See all services, including running as therapy, life coaching, and bilingual therapy →

Running the World

Movement Is Medicine, Wherever You Find It

As a USATF Certified Running Coach and marathon runner, I bring what the miles have taught me into my work — for runners, athletes, and anyone who thinks more clearly when moving.

Running the World — Santo Domingo, New York, Paris, Berlin, Vienna, Barcelona, Madrid, Miami, Granada, London

Explore Running as Therapy →

FAQs
What is the cost of a consultation?

The cost of a consultation typically ranges from $80 to $300, and a sliding scale is available to make therapy more accessible. See the Contact & Insurance page for the current list of accepted insurance plans and self-pay options.

For a more accurate and personalized estimate, please feel free to contact me directly to discuss your specific needs and insurance coverage options. I am committed to ensuring that you receive the support and care you deserve.

Do you offer in-person sessions?

All sessions are held online through secure video (telehealth), so you can meet from the comfort of your home. You'll need to be physically located in New York, Florida, or Nevada at the time of each session, since those are the states where I'm licensed.

What services do you offer?

Individual therapy for adults, child and adolescent therapy, couples therapy, family therapy, and group therapy — all offered online. See all services for details.

What is your therapeutic approach?

Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Interpersonal Psychotherapy, Mindfulness (MBSR), Positive Psychology, Psychodynamic Therapy.

What are your specialties?

Anxiety and panic disorders, depression, personality disorders, relationship challenges (family, friends, co-workers), personal growth, and self-esteem.

Get in Touch

Ready to Begin?

Schedule your consultation and find out how I can help you.