Karen Grace , LPC, LMHC
Compassionate, story-focused counseling for adults
Details
| Name | Karen Grace |
|---|---|
| Credentials | LPC, LMHC |
| Based in | Missouri |
| Licensed in | Missouri, Iowa |
| Session format | Online |
| Languages | English |
| Years in practice | 9 |
About Karen
Karen Grace is a licensed counselor (LPC) and licensed mental health counselor (LMHC) practicing in Missouri. She brings nine years of clinical experience and works with people facing stress, anxiety, depression, relationship and intimacy concerns, addiction, and trauma. Karen aims for straightforward, calm conversations that help people feel heard.
She uses a collaborative, nonjudgmental stance to understand what matters most to each person. Her sessions are practical and grounded. She helps clients tell the story of their lives and notice patterns that cause pain or get in the way of change.
Background and approach
From there she and the client try small, doable steps to test new ways of coping. She mixes narrative ideas with acceptance and behavior-focused tools to match what feels useful in the moment. Karen also supports people dealing with parenting stress, caregiver burnout, chronic health problems, body image concerns, and challenges related to adoption or blended families.
She has experience addressing attachment issues, codependency, and recovery from domestic violence and substance use. Her work includes attention to kink and alternative sexual cultures when that is part of a client's story. Sessions are intended to be warm and interactive.
Clients can expect an individualized plan adjusted over time, with an emphasis on practical strategies and building momentum between sessions. Karen welcomes international clients and provides services in English.
What this therapist works with
Her listing names Stress, Anxiety, LGBT, Relationship issues among the things Karen works with, alongside the areas below.
- Stress, Anxiety
- LGBT
- Relationship issues
- Intimacy-related issues
- Depression
- Addictions
- Family conflicts
- Trauma and abuse
- Parenting issues
- Anger management
- Self esteem
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Adoption and foster care
- Attachment issues
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Hospice and end-of-life counseling
- Infidelity
- Life purpose
- Midlife crisis
- Mood disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Social anxiety and phobia
- Women's issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Karen among the ways she works.
- Client-Centered Therapy: Listed by Karen among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Karen among the ways she works.
- Eye Movement Desensitization and Reprocessing (EMDR): Listed by Karen among the ways she works.
- Jungian Therapy: Listed by Karen among the ways she works.
- Mindfulness Therapy: Listed by Karen among the ways she works.
- Solution-Focused Therapy: Listed by Karen among the ways she works.
- Trauma-Focused Therapy: Listed by Karen among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Karen directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Karen directly how she uses it and what a session usually looks like.
Online session options
How Narrative and ACT translate to online care
Karen often draws on Narrative Therapy to help people rethink the stories they tell about themselves and their relationships. That approach highlights how life events get framed and offers ways to rewrite unhelpful narratives so people can try different behaviors and see different results. Acceptance and Commitment Therapy (ACT) is another frequent thread in her work; ACT focuses on noticing painful thoughts and feelings while committing to meaningful actions that reflect a person's values. Cognitive Behavioral Therapy (CBT) appears in practice as straightforward skill building for anxiety, depression, and coping with life changes.Finding the right approach is part of the therapeutic process. Karen treats the first few sessions as collaborative planning time to match methods to a client's goals and preferences. She will check in about what is working and adjust the mix of narrative work, ACT exercises, or CBT skill practice as needed.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation for deeper dialogue and exercises. Phone sessions use less bandwidth and can fit into a busy day. Live chat or text works well for brief check-ins, journaling between sessions, or when someone prefers not to be on camera. These options make scheduling more flexible and help therapy fit into everyday life.
Common questions about this listing
What kinds of concerns does Karen address?
She works with stress, anxiety, depression, relationship and intimacy problems, addictions, trauma and abuse, and related struggles such as caregiver stress, body image, and attachment issues.
What is Karen's therapeutic style like?
Her approach is warm, interactive, and nonjudgmental. She combines storytelling techniques with acceptance and practical skills to help clients try new ways of coping.
How long has she been practicing?
Karen has nine years of clinical experience working with a range of concerns and presenting issues.
Where is Karen licensed and based?
She holds LPC and LMHC credentials and practices in Missouri as noted by her Missouri LPC and Iowa LMHC listings.
Which languages are supported for sessions?
Sessions are offered in English and she is available to work with international clients.
What session formats are offered online?
Karen offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with Karen?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule a session according to therapist availability.
Contacting this therapist
Sessions with Karen are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Karen where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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