Dr. Rieke's practice offers two distinct tiers of service — because not every client needs the same kind of support, and not every form of meaningful growth happens in a traditional therapy room. All sessions are held online through secure video for clients in New York, Florida, and Nevada.
Clinical Therapy
Thoughtful therapy for anxiety, life transitions, and emotional healing.
Services are formal psychotherapy — licensed, clinically supervised, and grounded in evidence-based practice. These services may be covered by insurance. All sessions are provided by Dr. Karina Rieke, PhD, LMHC-D, licensed in New York, Florida, and Nevada.
Therapy is available for adults, children and adolescents, couples, and families, as well as in group settings.
Anxiety & Panic
Individual Therapy
You don't have to live braced for the next wave. Using cognitive-behavioral therapy, mindfulness-based techniques, and clinical hypnotherapy, Dr. Rieke helps clients move from chronic anxiety into a life with more calm, clarity, and control.
Learn More about Anxiety & Panic therapyDepression & Emotional Wellness
Dr. Rieke's approach addresses not just mood but motivation, meaning, and the physical rhythms that shape how we feel — for when you're going through the motions but feel like you've lost access to yourself.
Learn More about depression therapyPersonality Disorders & Self-Discovery
For long-standing patterns in emotions, relationships, and sense of self that keep repeating, Dr. Rieke draws on DBT, mindfulness, and psychodynamic work to build emotional regulation, self-awareness, and steadier connections.
Learn More about personality disorders therapyLife Transitions & Stress
When everything is changing at once, Dr. Rieke helps clients navigate change with intention, resilience, and a clearer sense of who they're becoming.
Learn More about life transitions & stress therapyCouples & Relationship Counseling
Relationships are hard. Getting help is a strength. Dr. Rieke works with couples to create more honest, connected, and sustainable partnerships.
Learn More about couples counseling The Space Between UsIntegrative & Coaching Services
Whole-Person. Performance-Oriented. Beyond the Diagnosis.
Services draw on Dr. Rieke's specialized certifications to support growth, performance, and transformation beyond clinical symptom relief. These services can be used alongside Tier One therapy or as a standalone track.
Mindfulness-Based Therapy & Hypnotherapy
As a Certified Hypnotherapist, Dr. Rieke integrates mindfulness and clinical hypnotherapy for clients who want to go deeper than talk alone.
Learn More about mindfulness & hypnotherapyRunning as Therapy
Movement Coaching + Mental Health
Dr. Rieke is one of the few licensed mental health clinicians who is also a USATF Certified Running Coach — addressing performance anxiety, injury recovery, burnout, and the psychology of athletic life.
Learn More about Running as TherapyLife Coaching & Goal Achievement
Forward-focused, action-oriented coaching for people who don't need therapy right now — they need structure, accountability, and a skilled partner.
Learn More about life coachingBilingual Therapy
En Español / In English
Complete therapy and coaching in Spanish — not translated, but delivered with full fluency and cultural attunement.
Si prefieres hacer terapia en español, estás en el lugar correcto. Ofrezco servicios completos — con plena fluidez y sensibilidad cultural. Atiendo clientes en Nueva York, Florida y Nevada.
Learn More about bilingual therapy