Karina Killough, LCMHC

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina. She helps people facing anxiety, stress, depression, mood disorders, addiction, relationship strain, grief, body image concerns, and trauma and abuse. Karina draws on nearly three decades of clinical experience to guide practical steps forward.

She uses clear, straightforward conversation and builds a respectful, compassionate rapport. Sessions focus on identifying coping skills and small, achievable goals. The first meetings typically outline concerns and agree on what to work toward together.

Karina’s main approach is Cognitive Behavioral Therapy, which looks at how thoughts and behaviors affect feelings and helps people try new patterns. She also uses client-centered ideas that prioritize the person’s perspective, and mindfulness techniques to reduce reactivity and improve present-moment awareness.

Her background includes work across inpatient, intensive outpatient, and outpatient settings. That variety shaped her skill with individual therapy and group work, and with people managing substance use, trauma, and strong mood symptoms. Her practice style is collaborative and goal-focused, aiming for measurable changes in day-to-day life.

Karina earned a master’s degree in Clinical/Community Psychology and is licensed in North Carolina as an LCMHC. She brings 28 years of experience to sessions and speaks English. If you want to explore whether she is a good fit, the process begins with a short questionnaire and a scheduled intake to discuss your needs.

How her approaches guide online therapy

Client-Centered Therapy centers the person’s own goals and experience, so sessions focus on listening, reflecting, and shaping goals around what matters most. This helps when priorities are unclear or when someone needs support naming their next steps.

Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, actions, and feelings and uses practical exercises to change unhelpful patterns. CBT is often used for anxiety, depression, panic, and mood problems where concrete tools and homework can make a difference.

Finding the right approach is part of the work. Karina will collaborate with each person to decide which methods fit their needs and preferences. She checks in about what feels helpful and adjusts the plan as progress is made.

Confirm specific session formats before booking, as current offerings are listed on the scheduling page. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when schedules are tight. It can also let people practice skills between meetings and bring real-life situations into sessions for discussion.