Karina Killough, LCMHC - Therapist in North Carolina

About Karina

Karina Killough is a Licensed Clinical Mental Health Counselor with nearly three decades of experience. She works with parents and families on common concerns like stress, anxiety, depression, addictions, grief, and relationship struggles. Karina also supports people facing trauma, mood disorders, parenting challenges, and issues around self-esteem and body image.

Her style is warm and straightforward. She listens first and helps people name their priorities. Sessions focus on practical skills you can try between meetings.

Background and approach

Progress is built step by step, not rushed. Karina’s main training is in Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions interact. She also draws on Client-Centered and Emotionally-Focused methods to strengthen relationships and build trust.

Mindfulness and solution-focused tools are used for stress relief and short-term goals. She has worked across inpatient, intensive outpatient, and outpatient settings. That variety informs how she structures sessions for different needs.

Karina holds the LCMHC credential - Licensed Clinical Mental Health Counselor - in North Carolina, and she brings 28 years of clinical experience to her practice. If you are juggling parenting demands, family tensions, or personal struggles, she aims to create a practical path forward. She helps people develop coping skills, improve communication, and manage emotional ups and downs.

The approach is collaborative and focused on real-life change.

Approaches that translate to online family work

Client-Centered Therapy focuses on listening and building trust. In this approach the therapist reflects what a person says and helps them feel heard, which can make it easier to untangle family tensions and parenting stress.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It teaches concrete skills to manage anxiety, depression, mood swings, and addictive behaviors, and it often includes small homework tasks to practice between sessions.

Emotionally-Focused Therapy aims to improve how people connect with one another. It helps partners or family members identify and change patterns that lead to conflict or distance, and it supports rebuilding emotional safety.

Choosing the right approach is a team effort. Karina works with each person to match methods to their goals, needs, and preferences. She adjusts tools over time if something isn’t working, and she involves family members when that fits the plan.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging. That range lets people fit therapy into busy family schedules, reduces travel time, and keeps continuity when life gets hectic. Many find the flexibility makes it easier to keep up with regular sessions and practice new skills between visits.

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.

Emotionally-Focused Therapy (EFT)

Attends to the emotions underneath a recurring argument or distance, and to the attachment needs driving them. Often used where a relationship keeps returning to the same painful loop.

Frequently asked questions

What concerns does Karina commonly address?

She works with stress, anxiety, depression, addictions, trauma, grief, relationship and family issues, parenting challenges, ADHD, and related concerns such as body image and self-esteem.

What is her general therapy style?

Her style is empathetic and down-to-earth. She listens first, then helps clients set practical goals and develop skills to use between sessions.

How much clinical experience does she bring?

She brings 28 years of experience across inpatient, intensive outpatient, and outpatient settings, working with a wide range of mental health and substance-related issues.

What are her credentials and where is she licensed?

She holds the LCMHC credential - Licensed Clinical Mental Health Counselor - and is licensed in North Carolina with license number NC LCMHC 3731.

In which languages are sessions offered?

Sessions are offered in English.

Which session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.

How does billing and cost work?

Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.

What steps are involved in getting started?

Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Addictions
Relationship issues

Also works with

Therapeutic approaches

Experience: 28 years
Licensed: North Carolina
Languages: English

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