About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina who helps people struggling with stress and anxiety among other concerns. She brings decades of experience to conversations about mood, addiction, relationship strain, trauma, and self-esteem. Her style is steady and respectful, focused on what the person wants to change.
Karina uses clear, practical methods to help clients notice patterns and try new ways of coping.
Background and approach
She often draws on cognitive behavioral techniques to challenge unhelpful thinking and build new skills. Mindfulness and client-centered ideas are mixed in so sessions can be both action-oriented and compassionate. With 28 years in settings that included inpatient, intensive outpatient, and outpatient care, Karina has worked with people facing depression, bipolar concerns, panic attacks, substance use, and grief.
She has also supported those dealing with body image, codependency, family-of-origin issues, and healing after abuse. Sessions aim to create an honest working relationship where goals are clear and progress is tracked. Treatment plans are tailored to each person, with strategies chosen to fit their life and priorities.
Karina helps people develop coping skills they can use between sessions. Therapy can include short-term solution-focused work or longer-term exploration depending on the needs presented. She offers a mix of talk, skill practice, and mindfulness exercises to help people manage symptoms and improve daily functioning.
The emphasis is on gradual, practical change that fits a client's rhythm.
Approaches you can use in online sessions
Karina commonly blends cognitive behavioral methods with client-centered care and mindfulness tools. Cognitive Behavioral Therapy helps people identify and shift thoughts and behaviors that keep anxiety or depression active, often using simple exercises and homework to practice new responses. Client-Centered Therapy focuses on building a trusting, respectful relationship where the person leads the pace and goals of therapy. Mindfulness Therapy adds short attention and breathing practices to reduce reactivity and improve moment-to-moment coping.Choosing the right approach is a collaborative process. Karina will talk with each person about their goals and preferences, try techniques, and adjust the plan together so it fits the individual's needs and daily life.
Online therapy offers flexible ways to connect including video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation and screen sharing for worksheets, while phone sessions can work when bandwidth is limited. Live chat or text messaging can be used for brief check-ins, shorter sessions, or ongoing support between longer appointments. These options help fit therapy into busy schedules and different comfort levels with remote work.
Questions people ask
What kinds of problems does Karina address?
What is her therapeutic approach and style?
How much experience does she have?
Where is she licensed and based?
Which languages are supported for sessions?
What formats are available for meeting online?
How does payment and cost work?
How do I start working with her?
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
We will earn a commission if you sign up through our link, at no cost to you.