Karen Grace
Compassionate counseling for relationships and family
- Credentials
- LPC, LMHC
- Experience
- 9 years
- Licensed in
- Missouri, Iowa
- Languages
- English
- Format
- Online sessions
About Karen
Karen Grace is a licensed professional counselor (LPC) and licensed mental health counselor (LMHC) practicing in Missouri. She has nine years of clinical experience helping people facing stress, anxiety, depression, trauma, and relationship concerns. She works with adults on issues related to intimacy, addiction, identity, and family dynamics.
Sessions are held in English and Karen also accepts international clients. Her style is warm, direct, and collaborative. She listens without judgment and partners with each person to build a plan that fits their life.
Background and approach
Sessions focus on real goals parents and partners bring into the room, with practical steps to try between meetings. Karen draws on several evidence-informed methods, including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), Jungian ideas, and client-centered work. She blends tools so each session matches the client’s needs and pace.
EMTDR is used for trauma processing when appropriate, while CBT and ACT help with thoughts, behavior, and values-based goals. Her background also includes work around adoption and foster care, attachment matters, blended family challenges, caregiver stress, and body image. She brings experience addressing difficult topics such as domestic violence, substance use, and disruptive mood concerns.
The aim is steady progress rather than quick fixes. If someone is ready to begin, Karen asks them to share their goals so she can co-create a plan. Therapy is scheduled by selecting a start option and completing a short matching questionnaire to find the best fit.
Therapeutic approaches and how they translate online
Acceptance and Commitment Therapy, or ACT, focuses on clarifying values and taking action that matters. It helps people reduce avoidance and build a life guided by what they care about. Cognitive Behavioral Therapy, CBT, looks at the links between thoughts, feelings, and behaviors and offers concrete skills to change unhelpful patterns. Eye Movement Desensitization and Reprocessing, EMDR, is used for processing traumatic memories and reducing their emotional impact when appropriate.Choosing the right approach is part of the work. Karen collaborates with clients to try methods that fit their goals and comfort level. She adjusts techniques over time based on what helps most, so the process stays flexible and client-led.
Online therapy with video calls, phone sessions, live chat, or text-based messaging makes it easier to fit care into busy family schedules. These formats allow people to connect from home, keep continuity during life changes, and use shorter check-ins when that suits their needs. The variety of options supports steady progress across different issues and life rhythms.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- LGBT
- Relationship issues
Also works with
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Life purpose
- Midlife crisis
- Mood disorders
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Missouri, Iowa
- Languages
- English
Next step
Talk to Karen
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point