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
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What is her background and experience?
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How do I get started and what does cost look like?
What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- ADHD
- Anger management
- Bipolar disorder
- Body image
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Mood disorders
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 28 years
- Licensed
- North Carolina
- Languages
- English
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