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KG Portrait of Karen Grace

Karen Grace

Compassionate clinician using evidence-informed approaches

LPC, LMHC Missouri

Experience
9 years in practice
Focus areas
Stress, Anxiety, LGBT, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Karen

About Karen

Karen Grace is a licensed counselor and mental health clinician practicing in Missouri with nine years of experience. She draws on a range of clinical methods to address concerns such as stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, addictions, ADHD, and compassion fatigue.

Background and approach

Her background also includes work related to family and parenting challenges, adoption and foster care, attachment issues, and complex topics like BDSM and alternative sexual culture. Her style is warm, interactive, and nonjudgmental, and she partners with clients to tailor individualized treatment plans that reflect personal goals and circumstances.

She integrates cognitive behavioral techniques alongside acceptance and commitment approaches, client-centered principles, EMDR, and Jungian ideas to create flexible care strategies. Karen accepts international clients and conducts sessions in English using video calls, phone, live chat, or text-based messaging.

She holds LPC and LMHC credentials (MO LPC 2016016613, IA LMHC 108400) and offers services through a subscription model that can be canceled at any time.

Integrating approaches online to meet individual needs

Karen blends Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT) and EMDR depending on what the client brings to sessions. CBT focuses on identifying and shifting unhelpful thoughts and behaviors to reduce symptoms like anxiety and depression. ACT emphasizes values-driven action and learning to accept difficult internal experiences while committing to meaningful change. EMDR is used to process disturbing memories and the emotional distress they cause, often applied when trauma or abuse is part of a client's history.

Choosing the right approach is a collaborative process. She works with each person to explore goals, preferences, and past responses to therapy, adapting methods over time rather than prescribing a single path from the start. This partnership helps ensure the plan fits the client’s life and therapeutic aims.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide scheduling flexibility and options for different communication styles. These formats make it easier for clients to access regular support from licensed professionals without the need to travel, and they allow therapy to be integrated into busy or changing routines.

Frequently asked questions

What kinds of concerns does this therapist address?
She works with a broad range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy-related problems, addictions, ADHD, and caregiver or compassion fatigue.
What is the therapeutic approach like in sessions?
The approach is warm, interactive, and nonjudgmental, blending techniques such as CBT, ACT, client-centered therapy, EMDR, and Jungian ideas to create personalized treatment plans.
How much clinical experience does the therapist have?
The clinician has nine years of professional experience working with a variety of mental health and relational concerns.
What credentials and licensure are held?
She holds LPC and LMHC credentials with licensure listed as MO LPC 2016016613 and IA LMHC 108400 and practices out of Missouri.
Can people who live outside the United States work with this therapist?
Yes, she accepts international clients and conducts sessions in English for those located outside the United States.
Which session formats are available for appointments?
Clients may meet via video calls, phone sessions, live chat, or text-based messaging depending on preference and scheduling.
How are fees and payment structured?
Costs vary with location and therapist availability and sessions are provided through a subscription that can be canceled at any time.
What are the first steps to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTRelationship issuesIntimacy-related issuesDepression

Also works with

AddictionsFamily conflictsTrauma and abuseParenting issuesAnger managementSelf esteemBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

Adoption and foster careAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGender dysphoriaHospice and end-of-life counselingInfidelityLife purposeMidlife crisisMood disordersPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Jungian TherapyMindfulness TherapyNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

9+ years

Licensed

Missouri, Iowa

Languages

English