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KN Portrait of Karen Nance

Karen Nance

Experienced counselor blending practical strategies and empathy

LCMHC North Carolina

Experience
18 years in practice
Focus areas
Depression, Stress, Anxiety, Family
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Explore online therapy options

About Karen

Karen Nance is a licensed clinical mental health counselor (LCMHC) in North Carolina with 18 years of professional experience helping people navigate life’s challenges.

Background and approach

She focuses on issues such as stress, anxiety, depression, relationship and parenting concerns, trauma and grief, career transitions, anger, self-esteem, coping with life changes, coaching, and compassion fatigue. Her practice combines practical strategies with empathic listening to address both immediate concerns and longer-term goals.

Her approach emphasizes respect, sensitivity, and compassion while tailoring conversations and treatment plans to each person’s circumstances. Karen blends client-centered work with cognitive behavioral techniques and motivational interviewing principles, and she draws on trauma-focused methods when appropriate.

She frames therapy as a collaborative process that values the client’s voice and readiness for change, offering support as clients take steps toward a more fulfilling and balanced life.

Integrating Evidence-Based Methods with Flexible Online Care



Karen commonly uses cognitive behavioral therapy to help people identify unhelpful thinking patterns and build concrete coping skills for anxiety, depression, and stress. She also draws on client-centered therapy which emphasizes empathic listening and tailoring the pace and focus of sessions to each person’s needs. These approaches can be used alone or together to address emotional symptoms, decision-making, and everyday challenges.

Finding the right therapeutic approach is part of the work. Karen collaborates with clients to determine which methods fit their goals, preferences, and readiness for change, and she adjusts plans as progress unfolds so the process remains responsive and practical.

Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to access consistent support while balancing work, family, and other responsibilities, and they allow for ongoing coaching and skills practice between sessions.

Frequently asked questions

What concerns does Karen often address?
She works with stress, anxiety, depression, relationship and parenting issues, trauma and abuse, grief, career matters, anger, self-esteem, coping with life changes, coaching, and compassion fatigue.
What is Karen’s therapeutic style like?
The approach blends client-centered listening with cognitive behavioral techniques and motivational interviewing to create practical, collaborative conversations focused on goals and coping strategies.
How much clinical experience does she have?
She brings 18 years of professional experience working with people across a variety of life challenges and transitions.
Where is Karen licensed to practice?
She is a licensed clinical mental health counselor (LCMHC) in North Carolina, credential number NC LCMHC S7186.
Does she provide services in languages other than English?
Sessions are offered in English only and she is not currently accepting international clients.
What session formats are available?
Karen offers video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How are fees and subscriptions handled?
Cost varies by location and therapist availability, and sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with Karen?
Start by selecting the Start Therapy button, completing a brief matching questionnaire, and then scheduling sessions according to her availability.

Areas of expertise

Primary focus

Depression

Also works with

Stress, AnxietyFamily conflictsTrauma and abuseGriefParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCoachingCompassion fatigue

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingTrauma-Focused Therapy

Experience

18+ years

Licensed

North Carolina

Languages

English