- Anxiety and stress
- Relationship concerns
- CBT and mindfulness
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 28 years of experience. She works with adults on common early-adulthood pressures such as anxiety, stress, relationship struggles, mood disorders, and life changes, as well as concerns like addiction, grief, trauma, and identity questions related to LGBT experiences.
Her sessions are practical and straightforward. She uses approaches like Cognitive Behavioral Therapy, Client-Centered work, Emotionally-Focused Therapy, mindfulness, and solution-focused techniques. Conversations focus on skills for coping, clearer thinking about problems, and steps to reduce symptoms that get in the way of daily life.
Karina has worked across inpatient, intensive outpatient, and outpatient settings. That range means she is familiar with short-term crisis work and longer-term therapy. She has experience with individual and group settings and has used family and couples formats in past roles.
In session she helps people identify coping skills, improve communication, and address patterns tied to family of origin, codependency, and substance use. She also supports work on body image, self-esteem, and intimacy-related concerns. Her approach combines practical strategies with attention to emotional connection.
Practical matters are part of the work too. She helps with planning, setting small goals, and adjusting techniques so they fit everyday life. To begin, prospective clients complete a short matching questionnaire and schedule a first session through the site's online options.
How her approaches translate to online work
Client-Centered Therapy focuses on understanding a person’s perspective and building a trusting working relationship. In practice this means the therapist listens closely, reflects what she hears, and helps clients speak through their priorities and values. It is useful for relationship, self-esteem, and identity concerns.Cognitive Behavioral Therapy (CBT) breaks down unhelpful thoughts and behaviors into step-by-step patterns to change. Online CBT commonly uses homework, mood tracking, and short skills practice between sessions to help with anxiety, depression, panic, and stress. Emotionally-Focused Therapy helps people notice and name emotions and improve how they connect with others; it can support intimacy and relationship work.
Finding the right approach is part of the work. Karina will collaborate with each person to pick methods that match their needs, goals, and comfort. That means trying techniques, checking what helps, and adjusting the plan together.
Session formats are not listed in the biography, so confirm the current options before booking. Online sessions can make it easier to fit therapy into a busy life - for example by reducing travel time, allowing shorter check-ins on a break, or choosing audio over video if bandwidth is limited. These practical benefits help people keep therapy consistent while managing school, work, and other responsibilities.
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 she address?
She supports adults with anxiety, stress, depression, addictions, relationship and family problems, trauma, grief, and identity concerns including LGBT issues.
How would you describe her therapy style?
She uses practical, skills-based approaches such as Cognitive Behavioral Therapy along with client-centered and mindfulness work to focus on coping and clearer thinking.
How much clinical experience does she have?
She has 28 years of experience working in inpatient, intensive outpatient, and outpatient settings with individuals and groups.
Where is she licensed and based?
She is an LCMHC licensed in North Carolina and practices from that state.
Can sessions be conducted in languages other than English?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions paid for and what does cost look like?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.