K. Elizabeth Garzarelli , LPC, LCMHC

With 33 years of clinical practice, K. Elizabeth Garzarelli supports people navigating complex life transitions, emotional challenges, and personal growth. She is licensed in both North Carolina and South Carolina and holds the credentials LPC (Licensed Professional Counselor) and LCMHC (Licensed Clinical Mental Health Counselor), which reflect advanced training and experience in counseling and clinical mental health care.

Her practice emphasizes empowerment during periods of significant change, with particular attention to the needs of women, older adults, and professionals facing workplace or midlife transitions. She has extensive experience addressing stress, anxiety, self-esteem concerns, and career difficulties, and she helps individuals rediscover purpose, reduce isolation, and develop resilient coping strategies. Whether responding to caregiver stress, grief, trauma, or major health-related shifts, she offers a compassionate, holistic approach that balances practical tools with reflective exploration.

Clients work in a warm, collaborative environment designed to strengthen inner resources and create meaningful pathways forward. Practicing from North Carolina, she brings long-standing expertise in areas including women's issues, aging and geriatric concerns, workplace dynamics, and support through significant life and health changes.

Therapeutic approaches offered online and how they help

Client-centered therapy focuses on the client's own goals and perspectives, with the therapist providing empathy and support to help the person explore values, strengths, and choices. This approach is useful for stress, self-esteem work, and broad life transitions.

Existential therapy examines questions of meaning, purpose, and responsibility in life, helping people who are grappling with isolation, midlife concerns, or a search for direction. It encourages reflection on personal values and deliberate choice.

Eye Movement Desensitization and Reprocessing (EMDR) is a structured method for processing distressing memories and reducing their emotional intensity, often used for trauma and abuse-related symptoms. In online sessions EMDR techniques can be adapted to support healing and symptom relief.

Finding the right approach is part of the therapeutic process, and she works collaboratively with each person to determine which methods best match their needs, goals, and preferences. That collaboration helps shape a plan that evolves as progress is made.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging, allowing clients to engage from home or other convenient locations and to choose the communication style that fits their life and comfort level. Licensed professionals can deliver meaningful, goal-oriented work across these formats.