Pietzsch Counseling & Consultation, PLLC
Pietzsch Counseling & Consultation, PLLC
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Meet The Clinician

Elizabeth "Zabe" Pietzsch, MA, LCMHC

Zabe (she/they) is a licensed clinical mental health counselor in North Carolina who has been working in the mental health field for over a decade and providing counseling services for over 5 years. Their lived and extensive experience as an Autistic and ADHD (AuDHD) individual enables them to meet the clients where they are and provide effective outpatient, individualized, therapeutic care. She can treat a number of mental health disorders but specializes in working with neurodivergent individuals, specifically those who are later-in-life diagnosed, self-realized, or suspected to be Autistic and / or ADHD & are exploring identity acceptance and development. As a member of the community, Zabe works well with other LGBTQ+ members and offers a safe space to BIPOC individuals. Zabe also enjoys working with young adults going through transitions such as school/college, relationships/breakups, jobs, relocating, etc.


Outside of their profession, they enjoy spending time with their outdoors, cruising on the Blue Ridge Parkway, photographing the Milky Way, wading in the nearby waterways, thrift shopping for vintage trinkets and oddities, researching Autism and neurodivergence, completing visual puzzles, learning piano, reading non-fiction and YA fiction novels, practicing German, and learning new creative outlets. 

"Why do you work with this population?"

My why:

I grew up in a small town in middle Tennessee with my older sister, who is three years ahead of me and was diagnosed early with Autism, ADHD, Dyslexia, Epilepsy, and an intellectual disability. From a young age, my life was shaped by proximity to neurodivergence—not as an abstract concept, but as a lived, daily reality.


Because my sister had limited verbal communication throughout our childhood, I often became her interpreter—translating her needs, preferences, and emotions to our parents and to the world around her. I learned early how systems work, where resources exist, and just as importantly, where they fail. I watched my sister be misunderstood, dismissed, and mistreated by peers. I also witnessed well-intentioned family members, professionals, and helpers attempt to intervene in ways that were confusing, invasive, and at times deeply traumatic.


Those early experiences quietly shaped how I see people, power, and care.

During my early years in college, a series of personal events pushed me to re-evaluate my path. I ultimately shifted my major from Biology to Psychology, driven by a growing desire to understand human behavior—not just clinically, but compassionately.


Over the years, I’ve worked in a variety of roles within the mental health field: administrative positions, residential counseling in group homes supporting individuals with severe mental illness, co-leading psychoeducational groups in community mental health settings, and serving as a personal assistant to an Autistic individual working toward independent daily living. I’ve also been part of interdisciplinary IDD/MH teams, providing consultation, crisis support, and neurodivergent-affirming education to individuals, families, and support systems.


This work has always felt natural to me. More than that—it energizes me.

Beyond my professional experience and my role as a sibling, the greatest contribution I bring to my work is my lived experience. After several years of practicing as a licensed therapist, I noticed something quietly unfolding: I didn’t just understand my high-masking clients—I recognized myself in them. Their exhaustion, their internal negotiations, their feeling of being “out of sync” with the world felt deeply familiar.


Despite knowing how often neurodivergent traits run in families, I never thought to question my own neurotype. I had always felt different from my peers, but difference alone didn’t feel like enough of a reason to look closer.


That changed in 2023, when I received a formal diagnosis of Autism Spectrum Disorder, Level 1 (requiring support, without accompanying language or intellectual impairment). Through the evaluation process, I also learned that I am cognitively gifted, with an ability to process information quickly and efficiently.


It’s important to name that this diagnosis was rendered through the DSM-5-TR and the medical-pathological model—not the neurodiversity paradigm, which understands Autism as a natural variation in human neurotypes rather than a defect.


I am Autistic—not less than.
I am not inherently disabled because I am Autistic.
I am disabled by environments that were never designed with minds like mine in mind.

Credentials

North Carolina

North Carolina

North Carolina

License #15719

Licensed Clinical Mental Health Counselor

South Carolina

North Carolina

North Carolina

License #11469

Licensed Professional Counselor

Virginia

Tennessee

Tennessee

License #0701015831 

Licensed Professional Counselor

Tennessee

Tennessee

Tennessee

*in progress*

Education / Training / Experience

Education

Training Highlights

Training Highlights

  • Bachelor's Degree in Psychology | minors in Sociology and Biology - Middle Tennessee State University 2011-2015


  • Master's Degree in Clinical Mental Health Counseling - University of the Cumberlands 2016-2018
    Activities and societies: Chi Sigma Iota - Chapter: Chi Psi Omega 


  • Master's Degree in Addictions Counseling - University of the Cumberlands 2019
    Activities and societies: Chi Sigma Iota - Chapter: Chi Psi Omega 

Training Highlights

Training Highlights

Training Highlights

  • Completed START Coordinator Certification which validates expertise and specialized knowledge in the field of Mental Health / Intellectual and Developmental Disabilities. 


  • Completed Eye Movement Desensitization and Reprocessing "EMDR" training through an EMDRIA approved provider. I'm able to provide EMDR session both virtually and in person. 


  • Completed Emotionally Focused Therapy "EFT" training through an ICEEFT approved provider.


  • 7+ years of professional continuing education and training related to clinical counseling in various topics including Ethics / Legal Considerations, Cultural Competency, Sex Therapy and Kink, Cultivating Medical Autonomy, Self-Injury, Intersections of Eating Disorders / Sexuality / Gender Identity, Treating Fears and Phobias, Providing Inclusive Care to Gender Questioning, Transgender, & Nonbinary Clients, and more. 

Experience

Training Highlights

Experience

I've been working in the mental health field for over 15 years. Roles that I've held:


  • Administration
  • Human Resources
  • Medical Assistant
  • Residential Counselor
  • Personal Assistant
  • Psychosocial Educator
  • Crisis Responder
  • Case Management
  • Specialized Consultative Service Provider
  • Clinical Mental Health Counselor

Pietzsch Counseling & Consultation PLLC

text 828-515-1451

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