- Client-centered approach
- CBT and mindfulness
- 28 years experience
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina who helps people facing stress, anxiety, depression, mood disorders, and addiction. She also supports those dealing with relationship strain, trauma and abuse, grief, body image and self-esteem concerns, and challenges around intimacy and parenting. Karina brings 28 years of experience to her work and approaches clients with steady attention and respect.
Her sessions are grounded in a client-centered stance that focuses on the person in front of her. She uses Cognitive Behavioral Therapy to identify unhelpful thinking and behavior patterns. She also draws on Emotionally-Focused and Mindfulness therapies when it fits a person's needs.
Karina has worked across inpatient, intensive outpatient, and outpatient settings, and she has experience using individual and group formats. She aims to build a practical plan with each person, concentrating on coping skills that can be used between sessions. Her style is warm, direct, and goal-oriented while staying attentive to each person's pace.
People often come for help with panic, bipolar mood swings, addiction, or difficulties with family of origin and codependency. She also addresses eating concerns, seasonal affective shifts, and feelings of isolation or shame. Throughout, Karina emphasizes collaboration and clear, manageable steps.
Beginning therapy with her starts with a short matching questionnaire and scheduling a session. She works in English and holds licensure in North Carolina as an LCMHC.
Approaches that guide online sessions and progress
Client-Centered Therapy centers the person's experience and priorities, giving space for people to describe what matters most while the therapist listens and reflects. This approach helps people feel understood and sets the stage for practical change. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that keep problems going and teaching skills to shift them, which can help with anxiety, depression, panic, and mood symptoms. Emotionally-Focused Therapy (EFT) looks at how emotions shape relationships and personal patterns and can help people notice and change interaction cycles that cause pain.Finding the right approach is part of the therapeutic work. Karina will help clients decide which methods fit their needs, goals, and day-to-day life, and she will adjust methods as progress unfolds. The process is collaborative and paced to what each person can manage.
The biography does not specify which online formats are offered, so confirm session options before booking. In general, online therapy can make it easier to fit sessions into busy schedules, reduce travel time, and allow short check-ins when needed. Some formats may suit quieter connections or shorter visits, while others may allow longer, more in-depth conversations. Ask about available formats and scheduling to find what matches your routine and goals.
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 problems does this therapist help with?
Karina supports people coping with stress, anxiety, depression, bipolar mood concerns, addictions, trauma and abuse, relationship and family issues, grief, eating and body image concerns, parenting strains, and related struggles.
How would you describe the therapy style and approach?
Sessions emphasize a client-centered approach with compassion and respect. She commonly uses Cognitive Behavioral Therapy, Emotionally-Focused techniques, and mindfulness practices to shape practical coping strategies.
What is her clinical background and experience?
She has 28 years of clinical experience working in inpatient, intensive outpatient, and outpatient settings, using individual and group work across a range of issues.
Where is she based and what are her credentials?
She is licensed in North Carolina as an LCMHC and practices with that credential in the state.
Are sessions offered in other languages or internationally?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The original biography does not list specific session formats. Please confirm current session options before booking to ensure they meet your needs.
How is cost handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What is the first step to begin therapy?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.