Katherine (Katie) Strub, LMHC

Katherine (Katie) Strub is a Licensed Mental Health Counselor (LMHC) in Iowa with 15 years of clinical experience. She helps people who are feeling overwhelmed by stress, anxiety, depression, trauma, relationship struggles, or major life changes. Katie focuses on practical steps people can use right away to feel steadier and more in control.

Katie uses Cognitive Behavioral Therapy, client-centered methods, EMDR, mindfulness, and motivational interviewing when those approaches fit a person's needs. She adapts the work to each individual rather than following a one-size-fits-all plan. Sessions center on clear goals and small, doable changes that add up over time.

She often helps people manage grief, addiction concerns, intimacy issues, parenting strain, and work-related stress. Katie also supports people dealing with attachment wounds, adoption and foster care issues, domestic violence, and dissociation. Her experience includes working with concerns linked to LGBTQ identity and compassion fatigue.

Katie describes her role as a guide and ally. She uses straightforward language, practical strategies, and honest feedback. Her style is warm and grounded, with an emphasis on clients keeping control of their choices and pace.

People who choose Katie can expect a collaborative process that balances problem-solving with emotional processing. She frames therapy as a partnership where the client sets the direction and she offers structure, tools, and perspective to help them move forward.

Approaches that translate well to online therapy

Client-Centered Therapy focuses on the person in front of the therapist. It emphasizes listening, empathy, and working at the client's pace so people feel heard and respected. This approach suits emotional processing and building self-understanding.

Cognitive Behavioral Therapy, or CBT, helps people identify unhelpful thoughts and behaviors and practice different ways of thinking and acting. It is practical and skill-based, so many tools and exercises work well over video or text between sessions.

Eye Movement Desensitization and Reprocessing, or EMDR, targets how upsetting memories and reactions are stored in the brain. In online sessions EMDR protocols can be adapted to guide processing of traumatic memories and reduce their intensity when used appropriately.

Figuring out the right approach is part of the first phase of work. The therapist will collaborate with the client to choose methods that fit their goals, comfort level, and the issues they want to address. That plan can change as progress is made.

Online formats offer practical flexibility. Video calls allow face-to-face interaction and use of visual tools. Phone sessions may be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging let people send updates, get coaching between sessions, and maintain momentum when schedules are tight. These options make it easier to keep therapy consistent around daily life.