About Karen
Karen Smith is a Licensed Professional Counselor (LPC) practicing in South Carolina. She draws on a decade of clinical experience to help people facing relationship strain, depression, trauma, grief, addiction, and low self-esteem. She speaks English and accepts international clients.
Karen aims to be calm, respectful, and straightforward in sessions. Her approach is practical and collaborative. She uses tools from Cognitive Behavioral Therapy to help people notice and change unhelpful thinking and behavior.
Background and approach
Acceptance and Commitment Therapy helps clients move toward the life they value even when painful feelings remain. Motivational Interviewing supports people who want to find the internal reasons to change habits tied to addictions or motivation struggles. Sessions focus on clear goals and step-by-step plans.
Karen works with each person to build skills for handling anger, managing grief, and improving self-worth. She also supports people navigating divorce or separation and those working on forgiveness and life purpose. Karen believes people can solve problems when given respect and nonjudgmental support.
She intentionally tailors treatment plans to match each person’s needs and preferences. That may include practicing new skills between sessions and checking progress regularly. Starting therapy can feel hard, and Karen aims to make the first steps easier.
She encourages questions and aims to create a steady, practical path forward rather than quick fixes.
Therapeutic approaches you can use online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then take actions that match their values. This approach can be useful for depression, anxiety, grief, and when life feels off course. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns in thinking and behavior and practicing concrete skills to change them, which can help with depression, self-esteem, and anger. Motivational Interviewing is a conversational method that helps people strengthen their own reasons for change, making it helpful for addictions and motivation challenges.Finding the right approach is part of the work. Karen will listen to your goals and preferences and then suggest one or a mix of methods that fit your needs. The plan is developed together and adjusted as progress is made so the approach stays practical and relevant.
Online therapy offers flexibility and ease of access. Video calls allow face-to-face conversation and full interaction, phone sessions work well when bandwidth is limited, live chat can offer brief check-ins during a busy day, and text-based messaging supports ongoing reflection between meetings. These options make it easier to fit therapy into work, caregiving, or travel schedules while still using evidence-informed methods.
Questions people ask
What concerns does she help with?
What is her therapeutic style like?
How much experience does she have?
Where is she licensed and practicing?
Which languages are supported?
What session formats are available?
How does pricing work?
How do I begin working with her?
What this counselor works with
Most often
- Relationship issues
- Trauma and abuse
- Self esteem
Also listed
Therapeutic approaches
- Experience
- 10 years
- Licensed
- South Carolina
- Languages
- English