About Karina
Karina Killough helps people manage stress, anxiety, addictions, relationship strain, mood disorders, trauma, grief, and self-esteem concerns. She also supports clients with parenting stress, body image worries, eating concerns, ADHD, and intimacy-related issues. Karina is a Licensed Clinical Mental Health Counselor, LCMHC, practicing from North Carolina.
Karina brings 28 years of experience to her work. She has supported people across inpatient, intensive outpatient, and outpatient settings using individual and group formats.
How Karina works
Her long experience means she is used to adjusting how she works to meet specific needs. Her style is warm and straightforward. She emphasizes compassion, respect, and practical problem solving.
Sessions focus on clear goals and building coping skills that someone can use between meetings. She commonly uses Cognitive Behavioral Therapy to spot unhelpful thinking and try new behaviors. Karina also draws on client-centered methods to keep the session focused on the person's priorities.
Mindfulness practices and solution-focused steps are used to manage intense feelings and make steady progress. In early meetings she and the person identify the most pressing concerns and a realistic plan. Progress is tracked and steps are adjusted as needed.
People can expect a blend of listening, skill teaching, and concrete homework when useful. Karina offers sessions in English and works with a wide range of concerns from anxiety and depression to addiction and family issues. She aims to help people strengthen coping, improve relationships, and move toward healthier daily routines.
Karina lists 5 ways of working on the entry:
What Karina works with
The areas below are the ones Karina selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LCMHC |
|---|---|
| Years in practice | 28 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches and online therapy options
Karina commonly combines Cognitive Behavioral Therapy and client-centered methods. CBT helps people notice thoughts and behaviors that keep problems going and then try different actions to reduce symptoms like anxiety, panic, or low mood. Client-centered work focuses on listening, validating how someone feels, and shaping goals that matter to the person.She also uses Emotionally-Focused ideas and mindfulness practices when emotions or relationship patterns are central. Emotionally-Focused Therapy helps identify the underlying emotions beneath arguments or distance and supports steps to reconnect. Mindfulness exercises teach simple ways to calm strong feelings and stay present during hard moments.
Choosing an approach is a team effort. Karina will talk with the person about their goals, try methods that fit, and adjust the plan over time. The process is collaborative and practical, with regular check-ins to see what helps.
Online sessions are available by video calls, phone sessions, live chat, or text-based messaging. Video is useful for full conversations and visual cues, phone can fit a busy schedule or lower bandwidth, and chat or messaging works well for quick check-ins and brief skill practice. These options make it easier to schedule sessions around work, school, or caregiving demands while keeping therapy consistent.
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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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