Karen Nance, LCMHC

Karen Nance is a licensed clinical mental health counselor with 18 years of experience working in North Carolina. She focuses on practical, everyday concerns like stress, anxiety, career strain, parenting challenges, and grief. Karen aims to meet people where they are and help them take steps toward a more satisfying life.

She uses approaches that include cognitive behavioral therapy and client-centered work to make therapy feel useful and grounded. Sessions are tailored to the goals a person brings, with conversations shaped around what is most helpful in daily life. She also draws on motivational interviewing and trauma-focused methods when those approaches fit the situation.

In sessions Karen keeps the pace collaborative and respectful. She listens for what matters most, offers clear options, and helps build skills people can use outside appointments. Expect practical strategies for managing symptoms alongside space to reflect on difficult experiences.

Her style is warm and straightforward. She emphasizes sensitivity and compassion while encouraging realistic steps forward. Many people find this balance helpful when coping with life transitions, work stress, or parenting strain.

Karen supports people through anger, low self-esteem, and compassion fatigue as well. She will work with each person to create a plan that fits their needs, values, and schedule. Getting started involves a short matching process and scheduling according to availability.

How therapeutic approaches work online

CBT, or cognitive behavioral therapy, focuses on the link between thoughts, feelings, and actions. Online CBT sessions typically include practical exercises, skill practice, and short homework tasks to reduce anxiety, depression, and stress-related symptoms.

Client-centered therapy prioritizes the person’s own goals and experience. In remote sessions this means the therapist listens closely, reflects what is heard, and helps people clarify their priorities and values to guide change.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and life demands and then select or blend methods that fit. Clients are invited to give feedback so techniques can be adjusted over time.

Online formats allow flexibility to fit therapy into everyday life. Video calls are useful for full discussion and visual connection, phone sessions can be simpler when bandwidth is limited, and live chat or text-based messaging work for brief check-ins, coaching-style support, or when writing helps clarify thoughts. These options make it easier to attend sessions around work, parenting, or geographic constraints.