About K.
K. Elizabeth Garzarelli helps people who are feeling overwhelmed by change. She works with adults facing stress, anxiety, low self-esteem, career challenges, grief, and relationship or intimacy concerns.
Elizabeth is a licensed professional counselor - LPC - and a Licensed Clinical Mental Health Counselor, LCMHC, practicing in North Carolina with 33 years of experience. Her style is straightforward and person-focused. Sessions are built around what matters to the client right now.
Background and approach
She listens, asks practical questions, and helps clients find ways to cope that fit their day-to-day lives. Elizabeth uses several approaches to suit different needs. Client-centered work emphasizes the person’s own goals and strengths.
Existential ideas help people facing big life questions or losses. Eye Movement Desensitization and Reprocessing, or EMDR, is used when past trauma or painful memories are getting in the way. She often supports people dealing with caregiving stress, serious illness or end-of-life transitions, and workplace strain.
Problems like compassion fatigue, isolation, and navigating midlife changes are also common topics in her practice. Sessions focus on practical steps and clearer perspective. Over time clients work toward improved coping, healthier routines, and greater self-understanding.
Elizabeth aims to create a calm, respectful space where people can make steady progress on what matters most to them.
How therapeutic approaches translate to online care
Client-centered therapy focuses on the client's own goals and perspective, giving space for people to set the pace and topics of each session. This can help when someone needs concrete problem-solving or emotional support during life changes.Existential therapy addresses big questions about purpose, loss, and meaning. It can be useful for people facing major transitions, grief, or midlife concerns and works well through conversation-based sessions that explore values and choices.
EMDR is a method used to process distressing memories that continue to cause anxiety or avoidant reactions. When appropriate, elements of EMDR may be adapted for remote sessions to help reduce the intensity of traumatic memories.
Choosing the right method is a team effort. The therapist will discuss goals and preferences, try different approaches when needed, and adjust the plan as progress is made. That collaborative process helps find what actually helps each person move forward.
Online sessions offer practical benefits. Video calls let the therapist and client see each other's expressions and work interactively. Phone sessions use less bandwidth and can fit into a short break. Live chat and text-based messaging suit quick check-ins, writing-based reflection, or when typing feels easier than speaking. These options make it simpler to keep therapy consistent around work, caregiving, or health-related demands.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Self esteem
- Career difficulties
Also listed
- Aging and geriatric issues
- Cancer
- Caregiver issues and stress
- Coaching
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Parenting issues
- Relationship issues
- Self-love
- Trauma and abuse
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 33 years
- Licensed
- North Carolina, South Carolina
- Languages
- English