- Cognitive Behavioral Therapy
- Motivational Interviewing
- Solution-Focused Therapy
About Karen
Karen Gravel is an MA, Licensed Mental Health Counselor (LMHC) with eight years of clinical experience based in Massachusetts. She focuses on stress, anxiety, addictions, relationship concerns, self-esteem, depression, trauma and abuse, grief, parenting, anger, career issues, bipolar disorder, coping with life changes, and social anxiety and phobia.
Karen helps people notice patterns in thinking and behavior that keep problems going. She uses straightforward conversations and practical exercises to change those patterns. Sessions are collaborative - the client and Karen decide what goals feel most important.
Her approach draws on several proven methods, including cognitive behavioral work and solution-focused tools. She also uses narrative techniques and motivational interviewing to help people reframe stories about themselves and find motivation for change. These methods are used to address anxiety, relationship problems, substance dependence, and life transitions.
Karen has worked in community mental health, crisis settings, and international and military contexts. That background informs how she responds to stress, cultural adjustment, and trauma-related concerns. She aims to help clients develop skills they can use outside of sessions.
Sessions focus on practical steps toward the goals each person names. Karen emphasizes clear conversations, manageable homework between sessions, and tracking progress over time. She supports people who want help with communication problems, attachment issues, divorce and separation matters, infidelity, jealousy, midlife questions, and life purpose concerns.
Approaches in remote sessions and how they help
Karen commonly uses Cognitive Behavioral Therapy (CBT) to identify and change unhelpful thoughts and behaviors; this approach is useful for anxiety, mood problems, and social fears. She also uses the Gottman Method for relationship-focused work, which emphasizes communication skills and practical exercises to improve how partners relate. Motivational Interviewing is another tool she draws on to help people clarify goals and increase readiness for change.Choosing the right approach is part of the work together. Karen talks with each client about their goals and preferences and adjusts techniques accordingly. She frames the process as a collaborative experiment to find what helps most for a person’s concerns and daily life.
Session formats are not specified in the biography, so please confirm current online options before booking. Online sessions can make it easier to fit therapy into busy schedules, allow shorter check-ins when needed, and remove travel time. They also let people use video or audio in ways that match their comfort and bandwidth, which can help keep appointments manageable alongside work and family commitments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, depression, addictions, relationship and communication issues, grief, parenting concerns, and social anxiety and phobia among other topics.
What is her therapy style like?
Her style is collaborative and practical, focusing on changing patterns of thought and behavior and using manageable exercises between sessions.
How long has she been practicing?
She has eight years of experience working in community mental health, crisis settings, and international and military contexts.
What credentials and location apply?
She holds an MA and is a Licensed Mental Health Counselor (LMHC) practicing from Massachusetts.
Which languages are offered?
Sessions are offered in English.
Can people outside the US work with her?
International clients are accepted.
How does payment and cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.