CBT Therapist Directory

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Karina Killough, LCMHC

Experienced North Carolina LCMHC for mood and relationships
  • CBT and client-centered
  • Stress and mood expertise
  • Individual and family therapy

About Karina Killough

Karina Killough is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 28 years of experience supporting people through a wide range of emotional and behavioral concerns. She combines compassion, empathy, and respect to build a collaborative therapeutic relationship that helps clients identify practical coping skills and work toward meaningful change.

Her clinical work centers on Cognitive Behavioral Therapy (CBT) while integrating client-centered and mindfulness-informed techniques to meet each person where they are. Karina has treated depression, anxiety and panic, bipolar and other mood disorders, substance use and addiction, trauma and abuse, grief, relationship and family challenges, parenting and intimacy issues, eating and body image concerns, and struggles with self-esteem and isolation.

She has experience delivering care in inpatient, intensive outpatient, and outpatient settings and has provided individual, family, couples, and group therapy. Treatment planning is personalized, goal-focused, and designed to address the specific needs of each client. Karina understands that seeking help can feel overwhelming and approaches that first step with patience and encouragement, aiming to be a steady partner in the client s journey toward improved emotional health.

Areas of Expertise

Primary Focus

Stress, AnxietyAddictionsRelationship issuesBipolar disorderDepression

Also Specializes In

LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersParenting issuesAnger managementSelf esteemCoping with life changesADHD

Additional Focus Areas

Body imageCodependencyCommunication problemsDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameIsolation / lonelinessMood disordersPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Karina Killough have?

She has 28 years of experience.

Is Karina Killough a licensed therapist?

Yes. She holds these credentials: LCMHC. License details: NC LCMHC 3731.

In which languages does Karina Killough provide therapy?

She provides therapy in English.

Where is Karina Killough located?

She is located in North Carolina.

How can I work with Karina Killough as my therapist?

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

Does Karina Killough work with international clients?

Karina Killough does not currently work with international clients.

How much does therapy with Karina Killough 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, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. 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

Karina uses Cognitive Behavioral Therapy and client-centered and mindfulness-informed methods to guide her online work. Cognitive Behavioral Therapy (CBT) helps people identify and shift unhelpful thinking patterns and behaviors - it is often useful for anxiety, depression, stress, panic, and mood-related concerns. Client-centered therapy emphasizes empathy and respect, providing a supportive space where clients lead the pace of change and explore values, relationships, and self-esteem. Mindfulness-informed techniques teach present-moment awareness and stress-management skills that can ease rumination and improve emotional regulation.

Finding the right combination of approaches is part of the therapeutic process. Karina collaborates with each person to tailor methods to their needs, goals, and preferences, adjusting the plan as progress unfolds. This collaborative stance helps ensure the chosen approach fits the client s circumstances and comfort level.

Online therapy with Karina can be delivered through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and communication styles. These options make it easier to access licensed professionals from home or work and to maintain continuity of care when life changes or travel make in-person visits difficult.

Ready to start therapy with Karina Killough?

Take the first step toward a better you.