Therapist profile
Karina Killough, LCMHC
LCMHC - Relationships and Family Concerns
Continue with KarinaAbout
- Cognitive Behavioral Therapy
- Mindfulness practices
- Emotion-focused work
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 adults facing stress, anxiety, mood disorders, substance use, relationship and family concerns, trauma and abuse, grief, parenting pressures, and issues around self-esteem and intimacy.
She offers straightforward, practical conversations about the problems people bring. Sessions focus on identifying coping skills and steps that fit day-to-day life. Karina draws on Cognitive Behavioral Therapy alongside client-centered ideas and mindfulness to help people notice patterns and try different approaches.
Her background includes work in inpatient, intensive outpatient, and outpatient settings. That variety shaped a familiarity with both short-term and longer-term care, and with individual and group work. She has supported people through addiction, bipolar disorder, panic, post-traumatic stress, and seasonal mood shifts.
In sessions she tends to be direct and goal-focused while attending to the relationship between emotions and behavior. Problem solving and emotion-focused work are both part of the plan when useful. Practical homework and mindful awareness exercises are commonly suggested between meetings.
People who come for family and parenting concerns can expect help sorting priorities, setting boundaries, and refining communication. Those dealing with body image, codependency, or guilt and shame can work on clearer thinking and small behavioral experiments to change habits over time.
How sessions work
Approaches used online and how they help
Client-Centered Therapy emphasizes listening and helping people name what matters to them. It supports clearer self-understanding and can help when someone is uncertain about values or next steps. Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions. It is useful for anxiety, depression, panic, and patterns that keep problems going. Emotionally-Focused Therapy (EFT) concentrates on emotional patterns in relationships and within oneself, and can help people track and change repetitive interaction cycles.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals, preferences, and the issues they bring. That decision can shift over time as progress is reviewed and needs change.
Session formats are not specified in the biography, so confirm current options before booking. In general, online sessions can make it easier to fit therapy into a busy day, allow quieter check-ins without travel, or let someone choose a session style that suits their comfort with video or audio. Practical exercises, homework, and mindfulness practices translate well to remote meetings and can be scheduled to match weekly life demands.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
28+ years
Listed in
North Carolina
Languages
English
Questions
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, addictions, trauma and family or relationship concerns, among other issues listed in her specialties.
How would you describe the therapeutic style?
Sessions are practical and goal-oriented, combining Cognitive Behavioral work with client-centered and mindfulness approaches to identify patterns and try new strategies.
How much clinical experience does she have?
She has 28 years of experience in clinical settings including inpatient, intensive outpatient, and outpatient care.
What credential does she hold and where does she practice?
She is an LCMHC licensed in North Carolina and provides services based on that license.
Does she work in languages other than English?
Sessions are offered in English.
Can she work with international clients?
International clients are not currently accepted.
How are sessions scheduled and what does cost look like?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to get started.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.