About Karen
Karen Larkins helps people who are feeling overwhelmed by stress, anxiety, low self-esteem, or big life changes. She is a licensed professional counselor (LPC) with 16 years of experience and focuses on practical steps people can use right away. Karen writes plainly and keeps sessions focused on what matters most to each person.
She has spent much of her career in behavioral health and has particular experience supporting people living with disabilities.
How Karen works
Karen is familiar with the ways stigma and practical barriers can affect mood, daily functioning, and access to care. She listens for patterns that make problems feel larger and works with clients to break those patterns down. Sessions typically center on identifying symptoms such as depression and anxiety.
Karen helps people build skills for managing difficult feelings and for improving self-efficacy and independence. She aims to make coping strategies usable in everyday situations. Her approach emphasizes small, achievable goals.
Karen helps people practice new ways of responding to stress and relationship challenges. Over time the focus shifts toward maintaining gains and preventing relapse. Karen is based in Michigan and conducts sessions in English.
She offers a range of communication formats so people can choose what fits their routine and comfort level.
What Karen works with
The areas below are the ones Karen selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Family conflicts
- Self esteem
Also listed
- Abandonment
- Aging and geriatric issues
- Avoidant personality
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Coping with life changes
- Depression
- Emptiness
- Forgiveness
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hospice and end-of-life counseling
- Isolation / loneliness
- Life purpose
- Multicultural concerns
- Post-traumatic stress
- Prejudice and discrimination
- Self-love
- Social anxiety and phobia
- Women's issues
- Young adult issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 16 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Michigan |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches and online sessions
Many evidence-based therapeutic techniques focus on teaching clear, practical skills. One common approach emphasizes identifying unhelpful thought patterns and practicing new, balanced ways of thinking to reduce anxiety and depression. This helps people respond differently to stress and to feel more in control of daily moods.Another approach centers on building coping skills and problem-solving for real-life challenges like chronic illness, caregiver strain, or adjustment to life changes. It breaks larger problems into smaller steps so progress is easier to measure and sustain.
Finding the right approach is a collaborative process. The therapist will work with each person to choose strategies that match their goals, needs, and preferences. Techniques are adjusted over time based on what helps most.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video calls let people connect face to face when a more in-depth conversation is helpful. Phone sessions can be useful when bandwidth is limited or for those who prefer not to be on camera. Live chat and text messaging work well for brief check-ins, homework review, or quick support between longer sessions. These options make it easier to fit therapy into busy days and varied routines.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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