Karina Killough, LCMHC

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina. She has 28 years of experience supporting people with anxiety, depression, mood disorders, addictions, trauma, and relationship concerns. Karina often works with clients dealing with grief, parenting stress, body image, self-esteem, and problems linked to ADHD.

Her style is warm and straightforward. She listens without judgment and helps people name what feels most urgent. Sessions focus on practical steps clients can try between meetings. Karina aims to make the process feel manageable rather than overwhelming.

Karina uses Cognitive Behavioral Therapy alongside client-centered and emotionally focused ideas. She brings mindfulness and solution-focused tools when they fit the client’s goals. Together with each person she builds a plan that targets specific thoughts, behaviors, and patterns contributing to stress or mood problems.

Work often includes short-term skills for coping with panic, cravings, or acute stress. It can also shift into longer work for trauma, family of origin issues, or complex mood disorders. She draws on experience from inpatient, intensive outpatient, and outpatient settings to match strategies to each situation.

People who choose Karina can expect clear goals, concrete homework when helpful, and a steady focus on strengths. Her approach is collaborative and practical, aimed at helping people regain a sense of control and improve daily functioning.

How Karina’s Approaches Translate to Online Therapy

Karina uses Cognitive Behavioral Therapy to identify unhelpful thoughts and test new behaviors, which can be well suited to video or phone sessions where homework and skill practice are assigned. Client-Centered Therapy guides the relationship with empathy and active listening, creating space for clients to lead the pace and topics of work. Emotionally-Focused Therapy helps people notice and shift emotional patterns that affect relationships and intimacy, and this often involves focused conversations that work well over video or live chat.

Finding the right approach is part of the work together. Karina will discuss goals, try methods, and adjust based on what helps most. That collaboration makes it easier to move from short-term coping strategies to deeper change when needed.

Online sessions offer flexibility for people with busy schedules or limited travel time. Video calls allow face-to-face interaction and more nuanced emotional work. Phone sessions use less bandwidth and can fit into a break from work. Live chat and text-based messaging are useful for quick check-ins, short problem solving, or when someone prefers not to be on camera. These options make it easier to keep therapy consistent and practical for daily life.