LGBT therapists in Carson City, NV

I bring 20 years of experience as a social worker across a range of mental health settings, but individual therapy is where I feel most at home. I often work with people navigating life transitions, stress, relationship challenges, and that “stuck” feeling. I also use DBT-informed approaches to help build coping skills and emotional balance.

As a bilingual, board-certified psychiatric nurse practitioner with Indigenous roots and lived immigrant experience, I founded Cristal Psykare to close the gap in accessible, affordable mental health care. With clinical experience across the lifespan and specialties in ADHD, PTSD, anxiety, depression, and substance use, I offer trauma-informed, culturally responsive care in both English and Spanish.

I actively participate in helping you get to where you want to go, and I offer insight when clients have a desire and readiness to hear it. I have worked in the mental health field for over ten years as well, so I have heard it all! My office is a no judgement zone first and foremost. I am a sex therapist and look forward to helping you overcome sexual shame and trauma so that you can have all the intimacy and closeness you desire.

Sometimes the hardest thing to lose isn't your way—it's your trust in yourself.

Maybe you're exhausted from overthinking every decision, carrying everyone else's expectations, or feeling like you should be able to handle everything on your own. Maybe anxiety, past experiences, or difficult seasons have left you feeling disconnected from yourself and unsure of what comes next.

Therapy with me is a place to bring the messy, complicated parts of life, feel genuinely supported, and work toward finding your footing. We'll have honest conversations, laugh when we can, sit with the hard moments, and work together toward meaningful change.

I'm Arianna Killebrew, a Licensed Clinical Social Worker (LCSW) trained in EMDR and Dialectical Behavior Therapy (DBT). I use an integrative approach because I don't believe one treatment works for everyone. People are too unique for that. Together, we'll figure out what fits you—not just what looks good on paper.

My background includes work in domestic violence shelters, schools, outpatient mental health, and legal and child welfare systems. Across these settings, I've worked alongside people navigating trauma, anxiety, relationship challenges, major life transitions, and experiences that left them feeling overwhelmed or disconnected from themselves.

I don't just sit back and listen. We'll make sense of what you're carrying, understand what's keeping you stuck, and build practical tools that fit your life—not someone else's. My goal isn't just to help you understand why you're hurting. It's to help you trust yourself more, respond differently when life gets hard, and create meaningful change that carries beyond our sessions.

You don't have to walk into therapy knowing what to say or having everything figured out. You just have to be willing to start somewhere. We'll figure out the rest together.