Steadiness Through Change
When everything is changing at once, Dr. Rieke helps clients navigate change with intention, resilience, and a clearer sense of who they're becoming.
When Life Feels Unmoored
Career changes, relocation, divorce, becoming a parent, a health diagnosis, loss, or simply the accumulated weight of ongoing stress — major transitions can leave even capable, high-functioning people feeling unmoored. It's common to feel like you should have this figured out, which can make it harder to ask for support.
How Therapy Helps
Therapy during a transition isn't about rushing back to how things were — it's about building the tools to move through change with more steadiness:
- Sorting what's in your control from what isn't, so energy goes where it can actually help.
- Processing what's been lost — a role, a routine, a version of the future you had pictured — before trying to move past it.
- Building coping skills that hold up under sustained pressure, not just single stressful moments.
- Clarifying what's next — a clearer, more intentional sense of who you're becoming on the other side.
What the Research Says
Chronic stress isn't just uncomfortable — left unaddressed, it has real physical and psychological costs, and real evidence-based ways to manage it:
- Chronic, unresolved stress can affect sleep and the immune, digestive, cardiovascular, and reproductive systems, and raises the risk of developing an anxiety disorder or depression.National Institute of Mental Health →
- Evidence-based coping strategies — including mindfulness practice, regular exercise, consistent sleep routines, and social support — are directly linked to better stress resilience.National Institute of Mental Health →
This is Tier One clinical therapy, which may be covered by insurance. All sessions are provided by Dr. Karina Rieke, PhD, LMHC-D, licensed in New York, Florida, and Nevada. All sessions are held online through secure video.