Karina Killough, LCMHC

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina who holds a Master’s degree in Clinical/Community Psychology and brings 28 years of experience to her work. She has supported people across the lifespan in inpatient, intensive outpatient, and outpatient settings, offering individual, family and couples, and group therapy tailored to each situation.

Her clinical focus spans depression, anxiety, mood disorders, bipolar disorder, addictions including drug and alcohol concerns, trauma and abuse, grief, parenting and family problems, relationship and intimacy issues, eating concerns and body image, ADHD, stress management, anger, and other life transitions. She also works with LGBT clients and addresses patterns such as codependency, communication problems, isolation and loneliness, guilt and shame, and forgiveness.

Karina’s approach centers on compassion, empathy, respect, and practical support. She emphasizes collaborative treatment planning and the development of coping skills that fit an individual’s goals and daily life. Cognitive Behavioral Therapy (CBT) is her primary modality, and she also incorporates Rational-Emotive techniques, person-centered principles, and mindfulness practices as appropriate to a client’s needs.

Clients can expect a supportive therapeutic relationship focused on identifying targeted strategies for change and improving emotional well-being. Karina views the decision to begin therapy as an important first step and considers it a privilege to accompany people through their healing and growth.

Evidence-Based Approaches Delivered Through Online Care

Cognitive Behavioral Therapy (CBT) helps people identify and shift unhelpful thought and behavior patterns. It is practical and skill-focused, often used for anxiety, depression, panic, and mood regulation. Client-Centered Therapy emphasizes empathy, active listening, and the client’s own strengths; it creates a supportive space for self-exploration and is especially helpful for relationship, self-esteem, and life-transition concerns. Mindfulness Therapy teaches present-moment awareness and self-compassion techniques that can reduce stress, improve emotional regulation, and complement other approaches.

Finding the right approach is a collaborative process. Karina works with each person to assess needs, set goals, and adapt methods over time so that treatment matches the client’s preferences and life circumstances. She blends techniques when appropriate to create a tailored plan.

Online therapy with a licensed professional can make care more accessible and flexible. Video calls allow face-to-face connection from home, phone sessions offer convenience, and live chat or text-based messaging can provide timely support between sessions. These options make it easier to fit therapy into busy schedules while maintaining consistent progress.