Practitioner record · Checked 9 Oct 2026
Karen Larkins has been in practice 16 years and is licensed in Michigan. Karen lists stress, Anxiety, family conflicts and self esteem among 27 subjects on the BetterHelp roster.
Everything below is either quoted from Karen's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.
01 · Who Karen works with
Karen lists 5 specialisms and 22 further focus areas. Specialisms are the subjects Karen chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Karen's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I began working with clients in behavioral health therapy about 16 years ago, and since then I have learned a great deal about behavioral health and the triggers which might constitute a need for someone to seek therapy. I especially enjoy working with individuals with disabilities, and dealing with overcoming some of the stigmatizations associated with the barriers which might contribute to an individual’s overall health, identifying symptoms, such as depression, anxiety, and feelings of low esteem and self-worth . I work to assist with overcoming and managing these symptoms and barriers, and to establish improved levels of self efficacy, empowerment, and self sufficiency. I work with children and adults.
Karen Larkins, on the BetterHelp listing · read 9 Oct 2026
03 · What happens next
Karen 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 Karen's own practice, and not a promise about how quickly anything happens.
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 Karen at this point.
BetterHelp matches algorithmically by default, so asking for Karen 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 Karen.
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.
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.
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.
04 · Before you commit
Built from what Karen actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Karen's - Karen has not seen them and is under no obligation to answer any of them.
“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 16 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.
05 · Practical details
06 · Provenance
Karen'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 Karen. 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.
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