Karen Grace, LPC, LMHC

Missouri · 9 years in practice

Karen Grace is a licensed professional counselor (LPC) and a licensed mental health counselor (LMHC) practicing in Missouri.

License and registration

LPC, Missouri: 2016016613 · expires June 2027
LMHC, Iowa: 108400 · expires September 2026
NPI: 1912553421 · national provider identifier
Years in practice: 9
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Karen

Karen Grace is a licensed professional counselor (LPC) and a licensed mental health counselor (LMHC) practicing in Missouri. She has nine years of experience helping people navigate stress, anxiety, depression, and trauma. Karen works with individuals on relationship and intimacy issues, addictions, parenting concerns, and identity questions related to LGBT experiences.

Her style is warm, direct, and collaborative. Sessions focus on where the person is now and what they want to change.

Background and approach

She helps clients set clear, manageable goals and uses practical strategies to reach them. Treatment plans draw from several approaches, including cognitive behavioral therapy, acceptance and commitment therapy, client-centered work, Jungian ideas, and EMDR. Karen adapts techniques to fit each person rather than following one fixed method.

That means tools and conversation change as progress happens. She also pays attention to complex life situations such as adoption and foster care issues, attachment concerns, blended family challenges, caregiving stress, chronic illness and pain, and substance use. Karen addresses difficult topics like domestic violence, sexual concerns, kink and BDSM culture, and codependency in a nonjudgmental way.

People who choose her often want practical steps, emotional understanding, and a therapist who listens first. She aims to make therapy usable in daily life, helping clients build skills to cope with change, manage mood differences, and improve communication. Karen accepts international clients and offers sessions that fit different schedules and needs.

She encourages anyone thinking about therapy to take the first step when they feel ready.

Focus areas and approaches

Everything Karen lists on their public professional profile, in their own terms.

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 Karen names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How these approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people clarify values and take meaningful action even when difficult thoughts or feelings are present. Online ACT sessions often mix talk with practical exercises to build habits that match what matters most. Cognitive Behavioral Therapy (CBT) focuses on changing unhelpful thinking and behavior patterns through skills and homework. In video or phone sessions CBT translates easily into step-by-step skill building and short practice tasks between appointments. Eye Movement Desensitization and Reprocessing (EMDR) is used to address distress tied to traumatic memories; components of EMDR can be adapted for remote delivery when appropriate.

Finding the right approach is part of the work. Karen collaborates with each person to decide which methods fit their goals and comfort. She will explain options, try different techniques, and adjust the plan based on what helps most over time.

Online therapy offers practical benefits for busy lives. Video calls allow face-to-face conversation across distances. Phone sessions can be a good choice when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging support ongoing connection between appointments or a quick way to process a moment as it happens. These formats make it easier to schedule sessions around work, caregiving, or travel while keeping therapy consistent.

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Questions people ask

What kinds of concerns can be addressed here?

Karen works with a wide range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy problems, addictions, parenting, ADHD, and self-esteem concerns.

How would you describe the therapy style and approach?

Sessions are warm, interactive, and goal-focused. She combines client-centered conversation with practical tools from CBT and ACT, and may use EMDR when appropriate.

What is Karen's professional background?

She has nine years of clinical experience working with diverse concerns, including trauma, substance use, attachment issues, and LGBT-related questions.

What credentials and location are listed?

Karen holds LPC and LMHC credentials and practices in Missouri.

Are sessions available in other languages or internationally?

Sessions are offered in English, and Karen accepts international clients.

Which session formats are offered?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and preferences.

How does cost and payment work?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

What are the steps to begin therapy?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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