Karen Gravel , LMHC

Karen Gravel offers practical, collaborative therapy that helps people find relief from mental health and life challenges while building solutions that fit their individual needs. She works with clients to identify and shift automatic thought and behavior patterns that often stem from deep-seated beliefs about self-worth and potential, recognizing how those beliefs shape reactions to stress and relationships. Using a blend of evidence-based approaches, she partners with clients to develop new perspectives that support growth and sustained change.

Her clinical experience spans community mental health, crisis care, and international and military settings, equipping her to help people manage anxiety, depression, stress, substance dependence, relationship struggles, and challenges tied to cultural adjustment and life transitions. Therapy is guided by outcomes that reflect each person’s values and goals, with an emphasis on resilience and active participation in the therapeutic process. Karen practices as an LMHC - a Licensed Mental Health Counselor - and integrates multiple approaches to tailor treatment to the client rather than following a single formula.

Evidence-Based Approaches and Online Therapy Options

Karen often uses Cognitive Behavioral Therapy (CBT) to help clients identify and shift unhelpful thoughts and behaviors; CBT is practical and effective for anxiety, depression, stress, and many mood challenges. She also integrates the Gottman Method when working on relationship issues - this approach focuses on improving communication, rebuilding trust, and managing conflict to support healthier partnerships. Motivational Interviewing is another tool she uses to support people facing addiction or ambivalence about change by enhancing motivation and commitment in a collaborative, nonjudgmental way.

Deciding which approach fits best is part of the therapeutic process. Karen works collaboratively with clients to explore their goals, preferences, and life context, and adjusts techniques over time so the therapy aligns with what the individual finds most helpful.

Online therapy offers practical flexibility - sessions can happen via video calls, phone, live chat, or text based messaging - making it easier to fit therapy into busy schedules, manage transportation or geographic barriers, and maintain continuity of care during life transitions. Licensed professionals can adapt these methods effectively to remote formats to meet clients where they are.