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LCMHC

Karina Killough, LCMHC

  • Experience28 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Karina

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) based in North Carolina with 28 years of clinical experience.

Background and approach

She works with people facing a wide range of concerns including stress, anxiety, addictions, relationship and family issues, mood disorders such as bipolar and depression, trauma and grief, intimacy-related concerns, eating and body image issues, parenting challenges, anger, self-esteem struggles, and ADHD.

Her practice also addresses related topics like codependency, communication problems, domestic violence, substance use, and feelings of isolation or shame. Her style emphasizes compassion, empathy, and respect, creating a collaborative environment where clients can explore strengths and build coping skills.

Karina integrates evidence-based tools with a person-centered stance, using Cognitive Behavioral Therapy as a primary method while drawing on Emotionally-Focused, mindfulness, and solution-focused strategies as needed. She has worked across inpatient, intensive outpatient, and outpatient settings and is experienced with individual, family/couples, and group therapy modalities.

Karina aims to tailor treatment plans to each person’s unique goals and circumstances, guiding clients through practical steps toward improved emotional and mental well-being.

Approaches that guide online work and flexible care

Karina uses Cognitive Behavioral Therapy to help people identify unhelpful thinking patterns and develop practical coping strategies for anxiety, depression, mood swings, and stress-related problems. She also relies on Client-Centered Therapy, offering an empathetic, nonjudgmental space where the person's own goals and values guide the pace and focus of work. These approaches can be combined with mindfulness and emotionally-focused techniques when addressing trauma, relationship difficulties, or self-esteem and body image concerns.

Finding the right approach is part of the therapeutic process, and Karina collaborates with each client to determine what methods fit their needs, goals, and preferences. She tailors treatment planning rather than using a single fixed model, inviting clients to give feedback so the work evolves to match progress and changing priorities.

Online sessions are offered as video calls, phone appointments, live chat, or text-based messaging to increase accessibility and scheduling flexibility. These formats make it possible to maintain continuity of care across busy routines and geographic constraints while enabling regular check-ins and skill practice between longer sessions.

Frequently asked questions

What kinds of concerns does she address?
She supports people dealing with stress, anxiety, addictions, depression, bipolar disorder, trauma, grief, relationship and family problems, intimacy and self-esteem issues, eating and body image concerns, ADHD, and related challenges.
How would you describe her therapeutic approach?
Her work combines a compassionate, person-centered stance with practical, skill-based methods. Cognitive Behavioral Therapy is a primary approach, complemented by emotionally-focused and mindfulness-informed techniques where helpful.
What is her clinical background and experience?
She holds a master's level clinical education and brings 28 years of experience across inpatient, intensive outpatient, and outpatient settings, using individual, family/couples, and group formats.
Where is she licensed and practicing?
She is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina, credential NC LCMHC 3731, and practices with that state licensure.
Does she offer services in other languages or accept international clients?
Services are offered in English only, and she is not currently accepting international clients.
What session formats are available for online work?
Clients can connect through video calls, phone sessions, live chat, or text-based messaging depending on their needs and scheduling preferences.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions are provided via a subscription model that can be canceled at any time.
What should someone do to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesBipolar disorderDepression

Also works with

LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersParenting issuesAnger managementSelf esteemCoping with life changesADHD

Additional focus areas

Body imageCodependencyCommunication problemsDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameIsolation / lonelinessMood disordersPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapySolution-Focused Therapy

Experience

28+ years

Licensed

North Carolina

Languages

English

What Karina can help with

Karina Killough works with clients on stress and anxiety, addictions, relationship issues, bipolar disorder, and depression.

Karina works with clients that struggle with depression and individuals with trauma and abuse issues.

How Karina approaches therapy

Karina's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Emotionally-Focused Therapy (EFT), Mindfulness Therapy, and Solution-Focused Therapy.

Experience and training

Karina is a Licensed Clinical Mental Health Counselor practicing in North Carolina.