- Years in practice
- 28
- Credentials
- LCMHC
- Licensed in
- North Carolina
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Relationship issues
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina who helps people manage stress, anxiety, mood disorders, addictions, and parenting challenges. She supports clients coping with relationship strain, grief, trauma, bipolar disorder, and questions around intimacy and self-esteem. Karina offers straightforward guidance and practical skills for daily life.
Karina draws on nearly three decades of clinical experience across inpatient, intensive outpatient, and outpatient settings. She has worked in individual and group formats and has experience addressing substance use and family-of-origin issues.
Background and approach
Her background includes a master’s degree in clinical/community psychology and long-term work with mood and trauma-related concerns. Her style is warm and direct. Sessions focus on real problems and usable tools.
She listens first, then helps people build coping skills and clear steps they can try between sessions. Cognitive Behavioral Therapy is a central part of her practice, used to spot unhelpful thinking and test new behaviors. She also uses client-centered listening, emotion-focused ideas, mindfulness, and solution-focused techniques to fit each person’s needs.
Karina works with adults facing a wide range of issues including parenting stress, addiction, eating concerns, ADHD, and mood disorders. She helps people set practical goals, practice new communication patterns, and reduce the impact of overwhelming feelings. Clients can expect collaborative treatment planning that emphasizes coping strategies and gradual change.
The aim is steady, manageable progress rather than quick fixes.
What Karina works with
Everything Karina lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Karina helps people with.
- Stress, Anxiety
- Addictions
- Relationship issues
- Bipolar disorder
- Depression
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Eating disorders
- Parenting issues
- Anger management
- Self esteem
- Coping with life changes
- ADHD
- Body image
- Codependency
- Communication problems
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Social anxiety and phobia
- Women's issues
- Young adult issues
Approaches Karina lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Solution-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How evidence-informed approaches translate to online care
Client-Centered Therapy emphasizes being heard and respected. In practice that means the therapist listens closely and follows the client’s lead while helping them name concerns. This approach is useful for building trust and clarifying goals.Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors. It often uses homework and simple exercises to reduce anxiety, mood symptoms, and problematic habits, which adapts well to brief online assignments and check-ins.
Emotionally-Focused Therapy (EFT) helps people understand emotional patterns in relationships and manage intense feelings. It’s practical for improving communication, intimacy-related issues, and handling conflict in close relationships.
Finding the right approach is part of the work. The therapist will talk with the client about goals, try methods that match those goals, and adjust the plan together. Clients have a say in which techniques feel useful and which to change.
Online therapy offers flexibility and multiple ways to connect. Video calls allow face-to-face conversation and visual cues. Phone sessions are helpful when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging can support ongoing reflection, quick coaching between sessions, and easier scheduling during busy days.
Questions people ask about Karina
What concerns does Karina address?
She supports people dealing with stress, anxiety, depression, bipolar disorder, addictions, parenting challenges, relationship and intimacy issues, trauma, grief, and related concerns.
How would you describe her therapeutic style?
Her style is warm, direct, and practical. She listens first and focuses on building coping skills and steps clients can use between sessions.
What is her clinical background?
Karina has 28 years of clinical experience and a master’s degree in clinical/community psychology, with work in inpatient, intensive outpatient, and outpatient settings.
What credentials and location apply?
She holds the LCMHC credential and is licensed in North Carolina.
Which languages are supported and are international clients accepted?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging according to client preference.
How does cost and billing work?
Costs vary with location and therapist availability and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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