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Karen Grace , LPC, LMHC

Warm, collaborative therapist for individuals and families
  • LGBTQIA+ affirming care
  • Trauma informed approach
  • Couples and family focus

About Karen Grace

Karen Grace is a Missouri-licensed therapist with nine years of clinical experience who works with individuals, couples, and families facing a wide range of concerns. She has supported people dealing with depression, anxiety, trauma and abuse, attachment disorders, substance use, sexual issues, and members of LGBTQIA+ communities, as well as couples and family system challenges. Karen practices from a warm, open, and interactive stance, partnering with each client to design a treatment plan tailored to their particular goals and life context.

Her style emphasizes nonjudgmental acceptance of where clients are and what they want to change, while drawing on practical methods to foster growth and relief. She integrates tools from solution-focused therapy, EMDR, narrative approaches, dialectical behavior therapy (DBT), and feminist therapy to craft individualized care. Karen also holds LPC and LMHC credentials, which indicate state licensure to provide professional counseling services.

Seeking therapy is a meaningful step, and Karen approaches that step with encouragement and support. She works collaboratively to help clients identify priorities, build skills, and move toward healthier patterns, offering a therapeutic environment grounded in respect and active engagement.

Areas of Expertise

Primary Focus

Stress, AnxietyLGBTRelationship issuesIntimacy-related issuesDepression

Also Specializes In

AddictionsFamily conflictsTrauma and abuseParenting issuesAnger managementSelf esteemBipolar disorderCoping with life changesCompassion fatigueADHD

Additional Focus Areas

Adoption and foster careAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGender dysphoriaHospice and end-of-life counselingInfidelityLife purposeMidlife crisisMood disordersPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Eye Movement Desensitization and Reprocessing (EMDR) Jungian Therapy Mindfulness Therapy Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Karen Grace have?

Karen Grace has nine years of experience in clinical practice.

Is Karen Grace a licensed therapist?

Yes, Karen Grace holds these credentials: LPC, LMHC. License details: MO LPC 2016016613, IA LMHC 108400.

In which languages does Karen Grace provide therapy?

Karen Grace provides therapy in English.

Where is Karen Grace located?

Karen Grace is located in Missouri.

How can I work with Karen Grace as my therapist?

You can work with Karen Grace through video calls, phone sessions, live chat, or text-based messaging.

Does Karen Grace work with international clients?

Yes, Karen Grace works with international clients.

How much does therapy with Karen Grace cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care



Karen Grace draws from approaches that prioritize values, empathy, and processing difficult experiences. Acceptance and Commitment Therapy (ACT) helps clients clarify what matters to them and build practical actions aligned with those values while learning to relate differently to difficult thoughts and feelings. Client-Centered Therapy focuses on creating an empathic, nonjudgmental relationship in which the therapist offers acceptance and reflection so clients can explore and realize their own solutions and strengths. Eye Movement Desensitization and Reprocessing (EMDR) is a structured method that supports processing traumatic memories and reducing their emotional intensity, often used for post-traumatic stress and other trauma-related concerns.

Finding the right approach is part of the therapeutic process, and Karen collaborates with each person to identify methods that match their needs, goals, and preferences. She adapts techniques over time based on what is most helpful for the client in session and between appointments.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit care into busy schedules, bridge geographic barriers, and maintain continuity of support. These options allow clients to work with licensed professionals in ways that feel most accessible and convenient for their lives.

Ready to start therapy with Karen Grace ?

Take the first step toward a better you.