01 · Who Dale works with

Dale works with stress, Anxiety, LGBT and relationship issues

Dale lists 10 specialisms and 16 further focus areas. Specialisms are the subjects Dale chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Dale's own words

What Dale says about the work

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

I am a mental health therapist licensed in North Carolina with 20 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, and bulimia/binge eating. I work with individuals from all walks of life including LGBTQ .

My therapy style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My work integrates a variety of theoretical and practical perspectives. Therapy is geared more toward personal growth than simply toward behavior change or symptom relief. I see the exploration, discovery, and reconnection to one's true Self as the key to this growth. I view the individual as coping with life in the best way he or she knows how, and view the individual"s difficulties as understandable responses to life situations. Therapy style is geared to the unique needs of the client. Although I find an individual's history important in understanding one's difficulties, I encourage the individual to work on issues as they present themselves in the present.

It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you.

I look forward to working with you!

Dale Karl, on the BetterHelp listing · read 9 Oct 2026

03 · How Dale works

The 4 approaches Dale lists, in plain English

These are the clinical methods Dale lists. The descriptions are Maker Therapy's, not Dale'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 Dale 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

Dale 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 Dale'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 Dale at this point.

2. Naming Dale specifically

   BetterHelp matches algorithmically by default, so asking for Dale 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 Dale.

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

3 questions worth asking Dale

Built from what Dale actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dale's - Dale 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.

• “With 20 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

LCMHC

Licensed in

North Carolina

Licence

NC LCMHC 5115

Licence number

5115

Licence expires

30 Jun 2027

NPI

1013013911

Years in practice

20

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Dale'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 9 Oct 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 Dale. 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.