Karen Medlock, LCSW

Karen Medlock is a Licensed Clinical Social Worker with 27 years of experience. She practices in Texas and brings a broad background in social work and theology to her sessions. Karen aims to meet people where they are and help them move forward at a comfortable pace.

She uses a straightforward, down-to-earth style in sessions. That means listening first, then working together on practical steps. She draws on cognitive behavioral approaches among other methods to address patterns of thought and behavior that cause distress.

Karen has worked across many settings including schools and correctional facilities, and she has run groups and psychoeducational classes. That experience shaped her skills with addiction, trauma, grief, and intense anxiety such as panic attacks. She also supports people dealing with relationship and intimacy concerns, parenting strain, career stress, and life transitions.

Her background includes teaching kindergarten through twelfth grade, which informs her work with adolescents and young adults. She has also provided services across a wide age span and values cultural and sexual-orientation diversity in her practice.

In sessions she adopts a client-centered stance, helping people identify strengths and try small, practical changes. Meetings can include skills practice, talk-based problem solving, and exploration of attachment patterns that affect relationships. The pace and focus are shaped by each person’s goals.

Karen works with symptoms like depression, anxiety, PTSD-related reactions, sleep and eating issues, anger, and difficulties with self-esteem and coping. She aims to help people build resilience and steady routines that fit their daily lives.

How Karen’s Approaches Work Online

Karen blends cognitive behavioral techniques and attachment-based ideas with a client-centered attitude. Cognitive behavioral therapy helps identify unhelpful thinking and build new coping skills for anxiety, mood, sleep, and substance-related problems. Attachment-based work looks at how early relationship patterns affect present-day connections and can help with intimacy and communication struggles.

Finding the right approach is a collaborative process. Karen listens to each person’s goals and preferences, then suggests strategies to test over a few sessions. She adjusts the plan as needed so the work matches practical needs and personal pace.

Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility. Video works well for deeper conversations and skills practice, phone can be a good choice when bandwidth is limited, chat or messaging suit quick check-ins and ongoing support, and text can fit a tight schedule or shorter daily reflections. These formats make it easier to keep therapy consistent around work, school, or caregiving duties.