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Karina Killough

LCMHC

Karina Killough , LCMHC

Therapist in North Carolina

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Online therapy - get matched and start messaging.

About Karina

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina (NC LCMHC 3731) who brings a Master's Degree in Clinical/Community Psychology and 28 years of clinical experience to her work. She has supported people across the lifespan in inpatient, intensive outpatient, and outpatient settings, offering individual, family and couples, and group therapy to address a wide range of concerns. Her practice includes care for depression, anxiety and mood disorders, bipolar disorder, trauma and abuse, substance use and addiction, relationship and family challenges, grief, parenting and intimacy-related issues, eating concerns and body image, ADHD, stress, anger, and many other areas that affect daily functioning and well-being.

Her approach is grounded in compassion, empathy, respect, and practical support. She draws primarily on cognitive behavioral therapy to help clients identify patterns of thinking and behavior that contribute to distress, and she integrates client-centered and mindfulness-based techniques to tailor treatment to each person's needs. Karina emphasizes collaborative treatment planning so goals and coping skills are aligned with the individual's life circumstances and values. She aims to create a therapeutic relationship that fosters growth, skill development, and improved emotional health.

Seeking help can feel daunting, and Karina recognizes that first steps are often the hardest. With decades of experience across varied clinical settings, she is committed to guiding people through change and supporting progress toward clearer coping strategies and healthier relationships.

Therapeutic Approaches for Virtual Support

Karina uses cognitive behavioral therapy to help clients identify and reframe unhelpful thought patterns and develop practical coping strategies - this approach is often helpful for anxiety, depression, stress, and many mood-related concerns. She also applies client-centered therapy, emphasizing empathy, active listening, and collaboration so clients feel understood and are able to set goals that match their values and life context. In addition, mindfulness therapy is incorporated to teach grounding and awareness skills that reduce reactivity and support emotional regulation, which can be beneficial for trauma, stress, and impulse-related challenges.

Finding the right approach is a collaborative process. Karina works with each person to assess needs, preferences, and goals, blending techniques from different modalities to create an individualized plan. She invites clients to try strategies, provide feedback, and adjust the plan as progress is made.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to engage in care from home or other convenient locations. These options make it easier to fit therapy into busy schedules, maintain continuity during life transitions, and access licensed professionals who can tailor treatment to each individual’s needs.

Frequently asked questions

How much experience does Karina Killough have?

Karina Killough has 28 years of experience.

Is Karina Killough a licensed therapist?

Yes. She is a Licensed Clinical Mental Health Counselor (LCMHC), which indicates training and licensure to provide clinical mental health counseling. Her license in North Carolina is NC LCMHC 3731.

In which languages does Karina Killough provide therapy?

Karina Killough provides therapy in English.

Where is Karina Killough located?

Karina Killough is located in North Carolina.

How can I work with Karina Killough as my therapist?

You can work with Karina Killough through video calls, phone sessions, live chat, or text-based messaging.

Does Karina Killough work with international clients?

Karina Killough does not currently work with international clients.

How much does therapy with Karina Killough cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the Start Therapy button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the Start Therapy button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesBipolar disorderDepression

Also works with

LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersParenting issuesAnger managementSelf esteemCoping with life changesADHD

Additional focus areas

Body imageCodependencyCommunication problemsDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameIsolation / lonelinessMood disordersPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapySolution-Focused Therapy

Experience

28+ years

Licensed

North Carolina

Languages

English

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