01 · Who Carol works with

Carol works with stress, Anxiety, relationship issues and trauma and abuse

Carol lists 12 specialisms and 4 further focus areas. Specialisms are the subjects Carol chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Carol's own words

What Carol says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Imagine waking up every morning feeling like you can take on the world. How great does that feel? Pretty great and an attainable goal, but the reality is that at times life takes twists and turns which can leave us with worries, frustrations and conflicts. These can pile up and prevent us from accessing our built-in ability to live a purposeful, joyful life. That's where I come in.

I'm Carol Costner, a licensed professional counselor with over 14 years of experience working with people who have shared with me a broad range of problems. I always knew I wanted to work in the helping profession and pursued that out of high school by attending the University of Alabama in Birmingham, graduating with a Bachelor's degree in nursing. My work began in helping alleviate the physical suffering of those I was honored to serve in hospital settings. After a while, I returned to school and graduated with a Master's degree in Community Counseling from Jacksonville State University, earning my counseling license and my national certification as a counselor. I began working in a variety of settings with clients who suffered emotionally and relationally with both diagnosed and undiagnosed mental health issues.

My counseling style is client-centered, which simply means that you are the best expert on yourself. I will depend on you to share with me your own self assessment as a place to begin. I use a combination of solution-focused therapy, mindfulness, cognitive behavioral and narrative therapy techniques. I employ a whole-person integrated approach to wellness, using empathy while also being direct. This approach helps my clients avoid being too hard on themselves while also owning responsibility for change. Everyone will not fit into one method of therapy so I tailor my efforts toward what fits you best. I believe that we all have within us an internal compass--the ability to find our way. I would love the opportunity to assist you in accessing that compass and finding your way through whatever you are currently facing. I promise that I will give you my utmost best as we travel the journey to wellness and wholeness together. If you're looking for change and relief from distressing emotions, I would be delighted to join with you in a journey toward a more abundant life.

Carol Costner, on the BetterHelp listing · read 7 Nov 2026

03 · How Carol works

The 4 approaches Carol lists, in plain English

These are the clinical methods Carol lists. The descriptions are Maker Therapy's, not Carol's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Carol runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

04 · What happens next

From this page to a first session

Carol practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Carol's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Carol at this point.

2. Naming Carol specifically

   BetterHelp matches algorithmically by default, so asking for Carol is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Carol.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Carol

Built from what Carol actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Carol's - Carol has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 21 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Alabama

Licence

AL LPC 2866

Licence number

2866

Licence expires

31 Jul 2028

NPI

1407034275

Years in practice

21

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Carol's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Carol. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.