About Karen
Karen Nance is a licensed clinical mental health counselor (LCMHC) practicing in North Carolina with 18 years of experience. She focuses on helping people who feel stuck by offering steady, practical support. Her work often addresses anxiety, stress, depression, and career concerns.
Karen meets people where they are and listens first. She adapts conversations and plans to each person's needs. She treats others with respect, sensitivity, and compassion while keeping things straightforward and goal-oriented.
Background and approach
Her background includes long-term clinical work that brought experience with trauma and grief, parenting challenges, anger, and compassion fatigue. That variety helps her draw on approaches that match the issue at hand instead of using a one-size-fits-all method. In sessions she uses tools from client-centered therapy to build understanding and from cognitive behavioral therapy to identify patterns that keep problems going.
Motivational interviewing helps when someone wants to make changes but feels unsure where to begin. Trauma-focused work guides her with people who carry painful memories. People who choose Karen often want clear steps and steady encouragement.
She helps clients set realistic goals, try small changes, and evaluate what works. Starting therapy can feel hard; she aims to make the process manageable and focused on the next right step.
Approaches that translate to online care
Client-centered therapy focuses on understanding each person’s experience and building a trusting conversation. It emphasizes listening and adjusting the session to what the person needs, which can work well across video, phone, chat, or text.Cognitive behavioral therapy, or CBT, looks at thoughts and behaviors that keep anxiety or depression going and practices different ways of responding. CBT often uses short exercises and homework that are easy to share and review during video calls or through messaging.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, then try methods that fit the situation. That collaborative process can be adjusted as progress is made.
Online sessions offer practical flexibility. Video calls let people talk face-to-face when connection matters. Phone sessions can be easier when bandwidth is limited or when someone prefers not to use video. Live chat and text-based messaging make it simpler to check in between appointments or fit a brief session into a busy day. These options help people keep therapy consistent while balancing work, family, and other responsibilities.
Questions people ask
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What this therapist works with
Most often
Also listed
- Anger management
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Family conflicts
- Grief
- Parenting issues
- Self esteem
- Stress, Anxiety
- Trauma and abuse
Therapeutic approaches
- Experience
- 18 years
- Licensed
- North Carolina
- Languages
- English
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