01 · Who Karina works with

Karina works with stress, Anxiety, addictions and relationship issues

Karina lists 16 specialisms and 18 further focus areas. Specialisms are the subjects Karina chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Karina's own words

What Karina says about the work

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

I am a Licensed Clinical Mental Health Counselor (LCMHC) licensed in the state of North Carolina and I have a Master's Degree in Clinical/Community Psychology. I have over 23 years of experience working with a wide range of issues and ages. I have worked with clients that struggle with depression, anxiety, mood disorders, substance abuse/dependency, stress management, women's issues and self-esteem, family and relationship issues and individuals with trauma and abuse issues. I have experience working in Inpatient, Intensive Outpatient and Outpatient settings and have utilized individual, family/couples and group therapy.

My counseling approach is based on compassion, empathy, respect, support and a genuine desire and goal to help individuals address any area of concern.. I will engage in a beneficial therapeutic relationship that provides opportunity for the individual to identify appropriate coping skills to address life issues and improvement in their overall mental and emotional health. My primary therapeutic approach is Cognitive Behavioral Therapy, but I also utilize other therapeutic approaches including but not limited to Rational-Emotive Therapy, Person-Centered Therapy and Mindfulness. I will focus on treatment planning to address an individual's specific needs and goals.

The first step in seeking support is always the most difficult one and at times can feel a little overwhelming. However, I believe the benefits of therapy can be very rewarding and I am excited and privileged to be a part of your journey. I look forward to working with you.

Karina Killough, on the BetterHelp listing · read 8 Nov 2026

03 · How Karina works

The 5 approaches Karina lists, in plain English

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

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.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

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.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Karina 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 Karina'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 Karina at this point.

2. Naming Karina specifically

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

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 Karina

Built from what Karina actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Karina's - Karina 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 28 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 3731

Licence number

3731

Licence expires

30 Jun 2027

NPI

1003883984

Years in practice

28

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Karina'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 8 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 Karina. 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.