Karen Gravel, LMHC

Karen Gravel is an LMHC (Licensed Mental Health Counselor) who centers her practice on helping people find relief from mental health and situational challenges while developing solutions that fit their lives. She guides clients through identifying and changing patterns of thought and behavior that have become problematic, recognizing how automatic reactions and deeply held beliefs about worth and potential shape responses to stress and relationships.

Her approach blends evidence-based modalities with a collaborative stance, inviting clients to explore new perspectives that support growth and lasting change. Karen draws on experience gained in community mental health, crisis settings, and international and military environments to assist with anxiety, depression, stress, substance dependence, relationship concerns, life transitions, and challenges related to cultural adjustment.

Work with Karen is focused on outcomes that reflect each person’s values and priorities. She believes that effective therapy incorporates multiple approaches and holds that individuals are resilient and active participants in shaping their lives, partnering with them to develop practical strategies aligned with their goals.

Therapeutic Approaches and Online Care

Karen Gravel uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thoughts and behaviors. CBT is practical and goal oriented, often helping with anxiety, depression, stress, and coping with life changes.

She also draws on the Gottman Method to support couples in improving communication, resolving conflict, and rebuilding trust. This approach focuses on observable interactions and skills that partners can practice to strengthen their relationship.

Motivational Interviewing is another approach Karen uses when clients are facing ambivalence about change, such as with substance dependence or major life decisions. This style emphasizes collaboration and helps people find their own reasons for change in a respectful, nonconfrontational way.

Finding the right approach is part of the therapeutic process. Karen works collaboratively with each person to determine which methods fit their needs, goals, and preferences, and she adapts strategies used by licensed professionals and therapists to suit the individual.

Online therapy with Karen is offered through video calls, phone sessions, live chat, and text-based messaging, providing flexibility for scheduling and the ability to connect across locations. These options make it easier to fit therapy into busy lives and to continue care during transitions or when in-person visits are not feasible.