01 · Who K. works with

K. works with stress, Anxiety, self esteem and career difficulties

K. lists 13 specialisms and 11 further focus areas. Specialisms are the subjects K. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In K.'s own words

What K. says about the work

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

As a licensed therapist in North Carolina and South Carolina with over three decades of professional experience, I specialize in supporting individuals navigating complex life transitions, personal growth, and emotional challenges. My practice centers on empowering clients through periods of significant change, particularly for women, older adults, and professionals experiencing workplace or midlife transitions.

I bring deep expertise in addressing stress, anxiety, self-esteem concerns, and career difficulties. My approach is compassionate and holistic, focusing on helping individuals rediscover their sense of purpose, overcome isolation, and develop resilient coping strategies. Whether you're managing caregiver stress, confronting life's unexpected challenges, or seeking guidance during critical personal transformations, I'm committed to walking alongside you with understanding and professional support.

My therapeutic work spans diverse areas including women's issues, aging and geriatric concerns, workplace dynamics, and supporting individuals through significant health transitions. I offer a warm, collaborative environment where clients can explore their experiences, build inner strength, and create meaningful pathways forward.

K. Elizabeth Garzarelli, on the BetterHelp listing · read 9 Oct 2026

03 · How K. works

The 2 approaches K. lists, in plain English

These are the clinical methods K. lists. The descriptions are Maker Therapy's, not K.'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 K. runs a session.

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”.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

Also listed

• Existential Therapy
• Hypnotherapy

04 · What happens next

From this page to a first session

K. 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 K.'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 K. at this point.

2. Naming K. specifically

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

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 K.

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

• “You list both Eye Movement Desensitisation and Reprocessing 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 33 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

North Carolina

Licence

SC LPC 10528, NC LCMHC 3301

Licence number

3301

Licence expires

30 Jun 2027

NPI

1215028576

Years in practice

33

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

K.'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 K.. 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.