Karina Killough

Compassionate counselor focused on practical change

LCMHC North Carolina

Experience: 28 years in practice
Focus areas: Stress, Anxiety, Addictions, Relationship
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Karina

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 28 years of clinical experience.

Background and approach

She works with people facing stress, anxiety, mood disorders, addictions, relationship and family concerns, trauma and grief, eating and intimacy-related issues, ADHD, and a variety of related challenges like body image, codependency, and isolation. Her background includes inpatient, intensive outpatient, and outpatient settings, and she has delivered care in individual, family or couples, and group formats.

Her practice is grounded in empathy, respect, and practical support, emphasizing collaborative treatment planning and skills people can use in daily life. Karina draws primarily from Cognitive Behavioral Therapy while also using client-centered, emotionally focused, mindfulness, and solution-focused techniques to tailor interventions to each person’s needs.

She aims to help clients build coping skills, improve communication, and address patterns that contribute to distress. Clients seeking to start therapy are invited to select the Start Therapy button, complete a brief matching questionnaire, and schedule according to her availability.

Sessions are offered in multiple remote formats to accommodate different preferences and schedules.

Evidence-Informed Approaches for Online Care

Karina integrates Cognitive Behavioral Therapy and Client-Centered Therapy into her online practice. CBT focuses on identifying unhelpful thinking and testing new behaviors to reduce symptoms like anxiety, panic, depression, or problematic habits such as substance use; it provides concrete tools and homework to apply between sessions. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship in which the therapist offers empathy and support so clients can explore feelings, clarify values, and build self-directed insight and self-love.

Finding the right approach is a collaborative process. Karina works with each person to identify goals and preferences, then blends techniques over time to match those goals rather than relying on a single method, ensuring the work feels relevant and practical for the individual.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats make it possible to fit therapy into busy schedules, support continuity of care across life changes, and allow therapists and clients to work together from wherever they are located in North Carolina.

Frequently asked questions

What kinds of concerns does Karina address?

She supports people with stress, anxiety, depression, bipolar and other mood disorders, addictions, trauma and abuse, relationship and family struggles, grief, intimacy and body image issues, ADHD, and related concerns.

What is her therapeutic approach and style?

Her work is compassionate and collaborative, focusing on respect and practical skills. She primarily uses Cognitive Behavioral Therapy along with client-centered and emotionally focused elements and mindfulness and solution-focused tools.

How much clinical experience does she have?

She has 28 years of experience working in inpatient, intensive outpatient, and outpatient settings with individuals, families or couples, and groups.

Where is she licensed and what are her credentials?

She is licensed in North Carolina as an LCMHC with license number NC LCMHC 3731.

Can clients work with her in languages other than English?

She provides services in English and is not accepting international clients at this time.

Which session formats are available?

Appointments are offered through video calls, phone sessions, live chat, or text-based messaging to suit different communication preferences.

How are costs and billing handled?

Cost varies depending on location and therapist availability, and sessions operate through a subscription model that can be canceled at any time.

What steps are needed to begin therapy?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule appointments based on the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety AddictionsRelationship issuesBipolar disorderDepression

Also works with

LGBTFamily conflictsTrauma and abuse GriefIntimacy-related issuesEating disordersParenting issuesAnger managementSelf esteem Coping with life changes ADHD

Additional focus areas

Body imageCodependencyCommunication problemsDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shame Isolation / loneliness Mood disorders Panic disorder and panic attacks Post-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