Karla Burgess, LIMHP

Karla Burgess is a licensed independent mental health practitioner (LIMHP) based in Nebraska with over 21 years of experience. She has worked in hospital settings and maintained a private practice in a rural community. Karla draws on long experience with common concerns such as anxiety, depression, grief, parenting stress, and relationship strain.

Her background includes time as a school counselor, which contributed to comfort talking about issues across life stages. Karla often uses straightforward, goal-focused work and prefers clear steps people can try between sessions. She leans on ideas from Cognitive Behavioral Therapy, Solution-Focused Therapy, and a client-centered approach to guide that process.

In sessions she focuses on building a strong working relationship and practical goals. Conversations aim to identify patterns, try simple strategies, and measure progress over time. She pays attention to family of origin, caregiver stress, communication problems, and other issues that can shape daily life.

Karla also addresses concerns like social anxiety, emptiness, guilt and shame, life purpose, seasonal mood shifts, and strains faced by first responders. She frames work around what is realistic and relevant to each person’s daily routine.

People who prefer clear, stepwise plans and a warm, supportive style may find her approach helpful. Karla emphasizes collaboration and steady progress while respecting each person’s pace and priorities.

How these approaches work online

Client-Centered Therapy focuses on building a trusting relationship and listening carefully to what matters most to the person. It helps when someone needs understanding and support while they figure things out.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors interact. It breaks problems into manageable parts and teaches concrete strategies to reduce symptoms like anxiety or low mood.

Solution-Focused Therapy zeroes in on small, achievable changes and practical steps toward stated goals. It is useful when someone wants short-term, goal-oriented work to move past a specific problem.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs, goals, and preferences. Together they set priorities and try methods that seem likely to help, then adjust based on what does or does not work.

Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when someone prefers voice only. Live chat and text-based messaging let people check in between sessions or choose shorter, more frequent contact. These options make it simpler to fit therapy into a busy schedule and to keep momentum between appointments.