About Karina

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with 28 years of experience. She helps people facing stress, anxiety, depression, mood disorders, addiction, relationship struggles, trauma, grief, and ADHD. Her style is warm and straightforward, aimed at helping people manage daily life and feel more steady.

She uses practical tools from Cognitive Behavioral Therapy to spot unhelpful thinking and build new habits. Client-centered work means she listens first and tailors the plan to each person's needs.

Background and approach

She also draws on emotionally-focused methods to address closeness and communication in relationships. Karina has worked across inpatient, intensive outpatient, and outpatient settings. That background means she is familiar with short-term crisis work and longer-term recovery.

She is comfortable using individual and group formats and has experience guiding people through addiction and trauma recovery. Sessions focus on clear goals and teachable skills. People can expect concrete coping strategies for anxiety, mood swings, and substance concerns.

She helps with family-of-origin issues, codependency, body image, and managing guilt or shame. Her approach is collaborative and paced to the person's readiness. She aims to reduce overwhelm and increase confidence in handling life changes.

The first steps are small - getting a sense of concerns, setting goals, and trying tools that fit daily routines.

Therapeutic approaches and online care

Client-centered work puts the person’s experience first, with the therapist listening closely and shaping sessions around the client's goals and pace. This approach helps people feel heard and involved in decisions about their care.

Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and changing behaviors. It is practical and skill-based, and often used for anxiety, depression, mood swings, and ADHD-related challenges.

Emotionally-Focused Therapy targets patterns in close relationships and helps people improve how they express and respond to emotions. It can be useful for communication problems, intimacy issues, and relationship stress.

Karina will work collaboratively to find which approaches fit best for each person. Together they will consider goals, preferences, and what feels most useful in session. That flexibility means the plan can shift as progress is made.

Online therapy offers several practical benefits. Video calls let people have face-to-face conversations when travel is difficult. Phone sessions require less bandwidth and can fit into a short break. Live chat and text-based messaging are useful for quick check-ins, homework support, or when someone prefers typing over talking. These options provide flexible ways to practice skills and keep continuity between sessions.

Questions people ask

What concerns does she address?
She supports people with stress, anxiety, depression, ADHD, addictions, trauma, relationship problems, grief, and related issues such as body image and codependency.
How would you describe her therapeutic style?
Her style is warm, direct, and collaborative. She listens first, then helps people set clear, practical goals and learn coping skills.
What is her background and experience?
She has 28 years of clinical experience working in inpatient, intensive outpatient, and outpatient settings with a wide range of concerns.
What credentials and region apply to this therapist?
She is a Licensed Clinical Mental Health Counselor, LCMHC, licensed in North Carolina.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
What session formats are available?
Sessions can be held by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How do I get started and what does cost look like?
Begin by selecting the Start Therapy button and completing a short matching questionnaire, then schedule based on therapist availability. Cost varies with location and uses a subscription that can be canceled at any time.

What this therapist works with

Most often

Experience
28 years
Licensed
North Carolina
Languages
English

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