Karen Garraputa

Karen Garraputa is a licensed clinical mental health counselor with 25 years of experience. She works with people facing stress, anxiety, depression, trauma and abuse, and LGBT concerns. Many clients also come for help coping with life changes and women's issues. She listens without judgment and helps people move toward the life they want.

Her style is conversational and practical. She helps people notice how thoughts, feelings, and actions connect. Then she and the client try small changes that feel doable in daily life. Karen describes the process as figuring things out together, one step at a time.

Karen uses methods rooted in cognitive behavioral ideas and mindfulness-influenced skills. Those approaches aim to make patterns easier to see and shift. Sessions focus on things clients can practice between meetings so progress can carry into everyday routines.

Clients often bring worries about guilt, shame, forgiveness, mood concerns, self-love, and questions about life purpose. Karen helps people break big problems into manageable steps and build skills to handle setbacks. She emphasizes steady, realistic work rather than quick fixes.

Karen is based in North Carolina and holds the LCMHC credential, which stands for Licensed Clinical Mental Health Counselor. She speaks English and asks new clients to complete a short matching questionnaire to begin the intake process. To start, clients schedule through the Start Therapy button and set appointments based on the therapist's availability.

CBT and DBT skills for online sessions

Karen uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thought and behavior patterns. CBT focuses on practical exercises and skill-building to reduce anxiety, depression, and mood problems. Dialectical Behavior Therapy adds skills for managing strong emotions and improving coping through mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

Choosing the right approach is a collaborative process. Karen will work with each person to test methods and adjust the plan based on their goals and what feels useful. She helps clients pick skills to practice between sessions and reviews progress together so the plan changes when needed.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy day, allow shorter check-ins when time is limited, and reduce travel time. Discuss scheduling preferences and practical needs when you complete the matching questionnaire so sessions can be arranged to fit your routine.