- Emotionally-Focused Therapy
- Cognitive Behavioral Therapy
- Mindfulness practices
About Karina
Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina with 28 years of clinical experience. She works with people facing stress, anxiety, depression, mood disorders, addictions, relationship difficulties, trauma and abuse, and parenting concerns. She also supports issues around grief, intimacy, body image, codependency, and self-esteem.
Karina uses straightforward, goal-focused conversations to help people name what feels hard and find practical coping steps. She combines Emotionally-Focused Therapy with client-centered listening and cognitive-behavioral tools. That mix lets her track feelings, thoughts, and actions and help people try small changes between sessions.
Her background includes work in inpatient, intensive outpatient, and outpatient settings where she provided individual, family or couples, and group therapy. Those settings shaped a flexible approach to different kinds of stress and crisis. She brings experience helping people affected by mood disorders, panic attacks, post-traumatic stress, and substance use concerns.
Sessions often focus on building clearer communication, managing overwhelming emotion, and reducing unhelpful thought patterns. Karina also works on practical skills for relapse prevention and coping with life transitions. She uses mindfulness exercises when helpful to reduce immediate distress and improve emotion awareness.
People considering therapy are asked to complete a short matching questionnaire before scheduling a first session. Costs vary by location and sessions use a subscription that can be canceled at any time. Sessions are offered in English and international clients are not currently accepted.
How Karina integrates EFT and practical therapies online
Emotionally-Focused Therapy helps people name and track the emotions that drive their relationship patterns. It focuses on identifying core feelings and the interaction patterns that keep problems stuck. Client-Centered Therapy emphasizes listening and the client’s perspective, giving space for people to guide what they talk about and set priorities together.Cognitive Behavioral Therapy looks at how thoughts influence feelings and behavior and offers specific exercises to test and change unhelpful patterns. Those exercises can help with anxiety, mood problems, panic, and behaviors tied to addiction or eating concerns. Karina often combines these approaches so sessions include both emotional exploration and concrete skill practice.
Finding the right mix of approaches is a collaborative process. The therapist will work with the client to decide which methods fit their needs, goals, and preferences. That decision is reviewed over the first few sessions and adjusted as progress and challenges become clearer.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week, shorten check-ins when time is limited, and reduce travel time. It also lets people continue regular work on emotion awareness and behavioral experiments between meetings without requiring an in-person visit.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
28+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, mood disorders, addictions, relationship problems, trauma and related issues such as grief and intimacy difficulties.
How would you describe her therapy style?
She blends Emotionally-Focused Therapy with client-centered listening and cognitive-behavioral methods to help name feelings and try practical changes.
How much clinical experience does she have?
Karina has 28 years of experience in inpatient, intensive outpatient, and outpatient settings working with individuals and groups.
What are her credentials and location?
She is a Licensed Clinical Mental Health Counselor, LCMHC, licensed in North Carolina.
Which languages are supported?
Sessions are offered in English.
Does she accept clients outside the United States?
International clients are not currently accepted.
How does billing and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.