- CBT focused
- Client-centered work
- Mindfulness tools
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 28 years of experience. She works with people dealing with stress, anxiety, mood disorders, substance use, relationship problems, trauma, grief, and related concerns such as self-esteem and body image.
Karina uses straightforward, evidence-linked approaches to help people manage symptoms and daily challenges. She draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and make practical changes. She also uses Client-Centered principles to listen and respond to each person’s concerns. Mindfulness-based techniques are available to help with emotional regulation and focus.
Her background includes work across inpatient, intensive outpatient, and outpatient settings, and experience with individual and group formats. That variety informs a flexible way of planning sessions and setting goals. Sessions focus on clear coping skills, communication strategies, and steps people can try between meetings.
Karina aims to help people address acute problems and longer-term patterns. She supports work on panic, social anxiety and phobia-related struggles, addiction and relapse prevention, and family-of-origin issues among other concerns. Her approach favors concrete tools that can fit into daily life.
To begin, clients complete a short matching questionnaire and schedule an initial session. Karina practices in North Carolina as an LCMHC and conducts work in English.
How therapeutic approaches translate to online sessions
Client-Centered Therapy focuses on listening and reflecting what a person says. Online sessions using this approach let the therapist follow the client’s pace and priorities while offering feedback and clarification. Cognitive Behavioral Therapy (CBT) targets thoughts, behaviors, and routines that keep problems going. In an online setting CBT often involves setting concrete goals, practicing new skills between sessions, and reviewing progress together. Emotionally-Focused Therapy (EFT) helps people notice and work with emotions in the moment to shift how they relate to themselves and others.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, try methods that fit those goals, and adjust plans based on what helps. Clients can expect to review what is working and what to change as part of regular sessions.
Session formats are not specified in the biography, so please confirm current online session options before booking. Online work can make it easier to fit appointments into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It also supports keeping a consistent plan of action with worksheets, skill practice, and regular follow-up between meetings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
28+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, mood disorders, addictions, relationship and family problems, trauma and grief among other issues listed in her profile.
What is her general approach in sessions?
Sessions emphasize practical skills and clear goals using Cognitive Behavioral Therapy, client-centered listening, and mindfulness strategies.
How much clinical experience does she have?
Karina has 28 years of experience working in inpatient, intensive outpatient, and outpatient settings.
What are her credentials and where does she practice?
She is an LCMHC licensed in North Carolina and practices there.
Which languages are used in sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are fees and billing handled?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I get started with an initial session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session.