Karen Pelligra , LMHC

Karen Pelligra is a licensed mental health counselor (LMHC - Licensed Mental Health Counselor) based in New York State who has spent more than two decades supporting people through difficult moments. Over 22 years she has provided counseling across outpatient community mental health clinics, inpatient psychiatric hospitals, and home-based family services, building experience with a wide range of concerns and settings.

Her practice centers on collaboration and empowerment, with an emphasis on helping individuals feel supported as they navigate depression, anxiety, eating disorders, trauma, and major life transitions such as divorce or an empty nest. She draws from a variety of counseling styles to tailor care to each person - always focusing on practical steps and emotional resilience.

Known for meeting people where they are, Karen aims to create an environment of steady support while helping clients build coping strategies and clarify goals. Her approach balances empathy with evidence-informed techniques to guide people through recovery, adjustment, and growth.

Throughout her career she has remained committed to companioning others through change, offering steady clinical experience and a calm, collaborative presence for those facing life's challenges.

Therapeutic Approaches for Online Support

Karen draws on client-centered therapy to place each person�s experience at the heart of the work - this approach focuses on empathy, active listening, and creating a supportive space so individuals can explore their values and goals. It is well suited to people seeking understanding and validation as they work through personal challenges.

She also uses cognitive behavioral therapy (CBT), a practical method that helps identify and shift unhelpful thoughts and behaviors. CBT can be effective for issues such as anxiety, depression, and coping with life changes by teaching concrete skills for managing symptoms and improving daily functioning.

Dialectical behavior therapy (DBT) is another tool in her practice, offering strategies for emotional regulation, distress tolerance, and improving relationships - skills that can help with intense emotions, interpersonal conflict, and patterns that feel overwhelming.

Finding the right approach is part of the therapeutic process. Karen works collaboratively with clients and licensed professionals to determine what fits best based on needs, goals, and personal preferences.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility and easier access to care. These options allow clients to receive consistent support around work and family schedules, reduce travel time, and maintain continuity of care when life circumstances change.