About Kayla
Kayla "Kai" Coca is a licensed mental health counselor (LMHC) based in New York with four years of clinical experience. Kai previously did crisis work and now focuses on creating steady, practical support for people navigating difficult issues. They work from a trauma-informed, neurodivergent-affirming perspective.
Their style is straightforward and collaborative. Kai listens first, then helps set clear, achievable goals. Sessions often mix skills practice, reflective conversation, and planning so progress can show up between appointments.
Background and approach
Kai regularly supports people concerned about ADHD, trauma and abuse, and LGBT-related matters. They also help with mood struggles, body image, dissociation, and life-purpose questions. Kai works with people facing chronic illness or disability and those exploring gender dysphoria or kink-aware concerns.
Their approach draws on several therapy methods, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, psychodynamic ideas, and client-centered care. Techniques are chosen to match what a person needs that week. Language used in sessions is plain and inviting.
Kai aims to make therapy feel usable and relevant. They encourage small experiments between sessions and adjust direction based on what helps most.
How Kai's approaches fit into online care
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck in them. It emphasizes values-guided action and works well for people wanting clearer direction despite internal obstacles. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns. It is often useful for mood concerns, ADHD-related challenges, and problem solving. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and communication skills in a step-by-step way that can reduce overwhelm.Finding the right mix of approaches is part of the work. Kai collaborates with each person to identify goals, try techniques, and adjust when something isn’t useful. Clients help shape the plan based on their needs, pace, and preferences rather than following a fixed recipe.
Online therapy offers flexibility in how sessions happen. Video calls allow face-to-face conversation and screen-sharing for worksheets. Phone sessions use less bandwidth and can fit a shorter check-in during a busy day. Live chat or text-based messaging supports people who prefer writing, want frequent brief check-ins, or need a way to work through ideas between longer sessions. These options make it easier to keep continuity of care while fitting therapy into everyday life.
Questions people ask
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What this therapist works with
Most often
- LGBT
- Trauma and abuse
- Coaching
Also listed
- ADHD
- Attachment issues
- Autism and Asperger Syndrome
- BDSM, kink, and alternative sex culture
- Body image
- Chronic pain, illness, and disability
- Communication problems
- Dissociation
- Eating and food-related issues
- Family of origin issues
- Family problems
- Gender dysphoria
- Hearing impaired
- Life purpose
- Mood disorders
- Multicultural concerns
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Prejudice and discrimination
- Self-harm
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Young adult issues
Therapeutic approaches
- Experience
- 4 years
- Licensed
- New York
- Languages
- English
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