Karina Killough , LCMHC

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) with a master’s degree in Clinical/Community Psychology and 28 years of experience helping people navigate a wide range of emotional and behavioral concerns. She has supported clients facing depression, anxiety, mood disorders, substance use and dependency, stress, women's issues, low self-esteem, family and relationship challenges, and trauma and abuse. Her clinical work spans inpatient, intensive outpatient, and outpatient settings, and she has provided individual, family and couples, and group therapy throughout her career.

Karina’s counseling style emphasizes compassion, empathy, respect, and practical support. She works to form a collaborative therapeutic relationship that helps clients identify coping skills and concrete strategies to manage life stressors and improve emotional well-being. Her primary clinical approach is Cognitive Behavioral Therapy (CBT), and she also integrates Rational-Emotive techniques, person-centered (client-centered) principles, and mindfulness practices to meet each person’s needs.

In treatment planning Karina focuses on individualized goals, tailoring interventions to address specific concerns and promote meaningful change. She recognizes that taking the first step toward therapy can feel overwhelming and approaches that step with encouragement and professional commitment. Karina is committed to guiding clients through practical tools and empathic support as they work toward improved mental and emotional health.

Therapeutic Approaches and Online Care

Karina draws from evidence-based approaches to tailor online therapy to each person's goals and circumstances. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought and behavior patterns to reduce symptoms of anxiety, depression, and stress; it uses practical exercises and skill-building to support measurable progress. Client-Centered Therapy emphasizes a warm, nonjudgmental therapeutic relationship where the client’s experience guides the pace of work - this approach helps with issues like self-esteem, relationship concerns, and life transitions. Mindfulness Therapy teaches present-focused awareness and acceptance techniques that can reduce reactivity to difficult emotions and support coping with mood and stress-related concerns.

Choosing the right approach is part of the therapeutic process. Karina collaborates with each client to assess needs, preferences, and goals, and she adjusts methods over time to find the best fit. This collaborative stance helps clients feel involved and supported as they try different strategies.

Online therapy with Karina is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for varied schedules and life demands. These options make it easier to maintain continuity of care, access regular support, and practice skills between sessions while working with a licensed professional.