Works with
- Anger
- Stress, Anxiety
- Addictions
- Relationship issues
- Bipolar disorder
- Depression
How Karina works
Practical facts
- Credentials
- LCMHC
- Licensed in
- North Carolina
- Years in practice
- 28
- Languages
- English
- Session format
- Online, through our partner platform
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina. She draws on nearly three decades of experience to support people facing stress, anxiety, mood concerns, substance issues, relationship strain, grief, trauma, and anger. Her tone is calm and direct, aimed at people who want clear steps forward.
She uses practical tools to help people manage strong emotions and improve daily functioning. Sessions focus on identifying patterns, trying different coping skills, and tracking what helps over time.
Background and approach
She works with issues like depression, bipolar symptoms, panic, and addictive behaviors alongside concerns about self-esteem and body image. Karina blends cognitive behavioral strategies with client-centered listening and mindfulness practices. That means she helps people notice thoughts and behaviors, test new ways of reacting, and pay attention to present moment experience.
She also uses emotionally focused techniques to address relationship and intimacy concerns and to improve communication. Her background includes work in inpatient, intensive outpatient, and outpatient settings, plus experience with individual and group care. Karina emphasizes respect, compassion, and collaborative planning when building a treatment plan.
She aims to help each person develop realistic coping skills that fit their life. Starting therapy with her involves setting clear goals, practicing new skills between sessions, and checking progress. The work is steady and practical, focused on tangible change rather than quick fixes.
Karina encourages people to take the first step when they feel ready.
What Karina works with
Everything Karina lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Karina's practice.
- Stress, Anxiety
- Addictions
- Relationship issues
- Bipolar disorder
- Depression
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Eating disorders
- Parenting issues
- Anger management
- Self esteem
- Coping with life changes
- ADHD
- Body image
- Codependency
- Communication problems
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Social anxiety and phobia
- Women's issues
- Young adult issues
Approaches Karina lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Solution-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on listening, empathy, and collaborating with the person to set goals. It helps people feel heard and supported while they try new ways of coping.Cognitive Behavioral Therapy (CBT) teaches practical skills to recognize and change unhelpful thoughts and behaviors. It is useful for anxiety, mood problems, panic, and anger because sessions include concrete exercises and homework to practice between meetings.
Emotionally-Focused Therapy helps people understand patterns in close relationships and improve connection and communication. It can be helpful for intimacy-related issues and repair after conflict.
Finding the right approach is part of the work. The therapist will help you choose methods that fit your goals, preferences, and what feels useful in session. Decisions are collaborative and can change as progress is made.
Online therapy with video calls, phone sessions, live chat, or text-based messaging makes it easier to fit sessions into a busy life. Video works well for face-to-face conversation, phone can be a simpler option with less bandwidth, and text or chat lets people check in between meetings or use shorter check-ins during breaks. These options provide flexibility while maintaining a consistent therapeutic plan and regular skill practice.
Questions people ask about Karina
What concerns does this therapist address?
Karina helps people with stress, anxiety, depression, bipolar symptoms, addictions, trauma, grief, relationship and intimacy issues, parenting and anger among other concerns.
How would you describe the therapeutic approach?
She blends client-centered listening with cognitive behavioral techniques, emotionally focused work and mindfulness to create practical plans and coping skills.
What is her professional background?
Karina has 28 years of clinical experience and has worked in inpatient, intensive outpatient, and outpatient settings with individual and group care.
What credentials and region are listed?
She holds the LCMHC credential and practices in North Carolina as documented.
In which languages are sessions offered?
Sessions are offered in English only.
What session formats are available?
Work is offered via video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with this therapist?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.