About Karen
Karen Grace is a licensed professional counselor (LPC) and licensed mental health counselor (LMHC) based in Missouri. She has nine years of clinical experience helping people manage stress, anxiety, depression, and relationship challenges. Karen also supports people navigating trauma, addiction, caregiving strain, and concerns related to ADHD.
Her style is warm and nonjudgmental, and she aims to make sessions feel straightforward and practical. She starts by listening to what matters most to each person and then tailors a plan to meet those goals.
Background and approach
Sessions are collaborative and focused on small, usable steps rather than long lectures. Karen uses everyday language and clear strategies so people can try new approaches between sessions. Her background blends several therapy approaches to match different needs.
Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and client-centered methods help with mood, anxiety, and coping skills. She also draws on EMDR and Jungian ideas when trauma or deeper personal themes are present. Karen has worked across a range of concerns including family and blended family issues, adoption and foster care topics, intimacy and kink-related matters, body image, and chronic health stress.
She also supports people dealing with anger, codependency, and major life changes like divorce or separation. People who come to her often want practical tools and a steady, compassionate presence. She helps set realistic goals and checks progress regularly.
If someone prefers a direct, respectful therapist who mixes skill-based work with thoughtful listening, Karen may be a good fit.
Approaches that guide online sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small steps toward a meaningful life, even when difficult thoughts or feelings are present. It can help with anxiety, depression, and motivation-related struggles. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches practical skills to shift unhelpful patterns; it is often used for anxiety, depression, and stress management. Client-Centered Therapy emphasizes an empathetic, nonjudgmental relationship where the therapist follows the client's lead and supports self-directed change.Finding the best approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has worked or not worked before. From there she combines methods that fit the client's needs and adjusts the plan as progress is tracked.
Online formats include video calls, phone sessions, live chat, and text-based messaging, giving flexibility for different schedules and comfort levels. Video works well for in-depth conversations and visual cues. Phone sessions use less bandwidth and can be easier during a busy day. Live chat or text messaging offers brief check-ins and written tools between sessions. These options help people keep therapy consistent while fitting it into everyday life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Relationship issues
Also listed
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Life purpose
- Midlife crisis
- Mood disorders
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Missouri, Iowa
- Languages
- English
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