About Karen
Karen Grace is a licensed counselor with nine years of clinical experience and holds both LPC and Licensed Mental Health Counselor credentials. She practices in Missouri and offers straightforward, practical support for people feeling stuck or overwhelmed. Her style is warm and nonjudgmental, and she helps clients set clear goals they can work toward between sessions.
Clients can expect an interactive approach that blends different methods based on the issue at hand.
Background and approach
Sessions focus on what is useful right now - skills to reduce anxiety, ways to manage mood shifts, or steps to address relationship and intimacy concerns. She also works with people coping with trauma, addiction, parenting stress, and changes that come with life transitions. Her work often includes acceptance and commitment ideas to help people clarify values and act on them.
Cognitive strategies are used to spot unhelpful thinking and try new responses in daily life. When trauma memories are a barrier, she may use EMDR-informed techniques as part of processing. Karen pays attention to relational patterns such as attachment and communication.
She supports people navigating adoption and foster care topics, blended family dynamics, and caregiving strain. She also addresses concerns about body image, sexuality and kink, and substance use when those issues come up. Sessions are available in English and international clients may be served.
Practical matters like scheduling follow a short matching questionnaire and a subscription-based session plan that can be canceled at any time.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy helps people notice what matters to them and take small steps that align with those values. Online ACT sessions often include practical exercises and homework to build actions into daily routines. Cognitive Behavioral Therapy focuses on spotting patterns of unhelpful thinking and testing new behaviors; in remote sessions this looks like reviewing situations together, practicing new responses, and tracking progress between meetings. Eye Movement Desensitization and Reprocessing is used to address traumatic memories by guiding processing in a structured way; when offered online it involves clear preparation, paced processing, and careful check-ins.Choosing the right approach is a team effort. The therapist will discuss goals, preferences, and what feels workable, then try methods that match those needs. Plans are adjusted over time based on what helps most, and the client’s voice guides decisions about pacing and techniques.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and comfort levels. Video is useful for in-depth work and face-to-face conversation, phone calls can be easier when bandwidth is limited, live chat supports quick check-ins, and messaging works for brief updates or ongoing reflection between sessions. These options make it easier to maintain continuity of care while balancing work, family, and travel.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- LGBT
- Relationship issues
Also works with
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Life purpose
- Midlife crisis
- Mood disorders
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- Missouri, Iowa
- Languages
- English