Profile / United States
Karen Garraputa, LCMHC
North Carolina
LCMHC - Stress and Anxiety
See online therapy options- CBT methods
- DBT skills
- LGBT concerns
About Karen
Karen Garraputa is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 25 years of experience. She works with stress, anxiety, LGBT concerns, trauma and abuse, depression, and coping with life changes. Her practice emphasizes practical changes that help in day-to-day life.
Karen frames therapy as a process of noticing which choices and habits have helped and which have not. She uses clear steps to link thoughts, feelings, and actions. Sessions focus on small, testable changes rather than vague promises.
Her approach draws on Cognitive Behavioral Therapy (CBT) techniques and mindfulness. That means identifying unhelpful thought patterns, trying different responses, and practicing new skills between meetings. The work includes concrete tools clients can use when stress or strong emotions appear.
Karen also integrates ideas from Dialectical Behavior Therapy (DBT) when emotion regulation and coping skills are needed. This adds skills for tolerating distress and managing intense feelings alongside the CBT focus on thinking and behavior.
People come to Karen to make practical changes and to get clearer about next steps in life. She aims to listen carefully and offer straightforward techniques to reduce overwhelm and build steadier routines. If a parent is reading on a phone, expect short, focused discussions and specific homework to try between sessions.
How Karen uses CBT and DBT online
Karen uses Cognitive Behavioral Therapy to help people notice patterns of thinking that keep problems going and to try practical behavior changes. CBT sessions focus on spotting specific thoughts, testing them, and practicing alternative actions that can reduce anxiety or low mood.She also draws on Dialectical Behavior Therapy skills when managing intense emotions or building distress tolerance. DBT-based work emphasizes clear skills for handling strong feelings, improving moment-to-moment coping, and reducing impulsive reactions.
Choosing an approach is collaborative. Karen will talk with each person about their goals, try a few techniques, and adjust the plan based on what works. The aim is to find methods that fit the client's needs and daily life, not to force a single style.
Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into busy schedules, shorten travel time, and allow focused check-ins between other responsibilities. Some formats may be better for quick skill coaching while others may allow longer skills practice; discuss preferred session length and style when scheduling.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of problems does she help with most often?
She helps people facing stress, anxiety, trauma and abuse, depression, and coping with life changes. Additional focuses include forgiveness, guilt and shame, life purpose, mood disorders, self-love, and women's issues.
How does she use Cognitive Behavioral Therapy in sessions?
CBT is used to identify unhelpful thoughts and link them to actions and emotions. Sessions emphasize practical steps and exercises to try between meetings.
What is her professional background?
She has 25 years of professional experience working in mental health settings. Her practice centers on concrete strategies to address everyday problems.
What credentials does she hold and where does she practice?
She is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina. Her practice location is in North Carolina.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for and priced?
Cost varies with location; sessions use a subscription model that can be canceled at any time. Exact pricing depends on where the client is located.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session. That starts the intake and scheduling process.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.