About Karen
Karen Guillory is a Licensed Independent Clinical Social Worker (LICSW) with two decades of experience. She offers steady, practical support for people facing stress, anxiety, depression, ADHD, trauma, and life transitions. Karen works from a strengths-based, trauma-informed stance.
She treats each person as the expert on their own life and focuses on building from existing resources. Sessions are grounded and solution-oriented, aimed at helping clients find manageable steps forward. Her experience includes helping people cope with relationship strain, grief, addictive patterns, and the wear of caregiving or demanding jobs.
Background and approach
She also assists with issues like self-esteem, anger, panic, and the navigation of illness or loss. The tone in sessions is nonjudgmental and focused on practical change. Karen uses a mix of approaches to match a client's needs, including client-centered methods, cognitive behavioral techniques, and elements of dialectical behavior therapy and narrative work.
She blends talk and skill-building so people leave sessions with concrete strategies to try between visits. People who reach out can expect a collaborative process that centers their goals. Karen aims to empower clients to make choices that fit their values and daily life.
Her practice is based in the District of Columbia and she conducts work in English.
Approach-driven online therapy that fits daily life
Karen uses client-centered work, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) in online sessions. Client-centered therapy focuses on understanding each person's experience and building trust so people feel heard and valued. CBT looks at how thoughts and behaviors connect and teaches practical skills to change unhelpful patterns for anxiety, depression, or ADHD-related challenges. DBT emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness to help with strong emotions, relationship strain, and impulse control.Choosing the right approach is a team effort. The therapist will talk with the client about goals, try techniques, and adjust the plan as needed. This collaborative process helps match methods to what actually helps the person in their everyday life.
Online sessions offer flexibility through video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversations when visual cues matter. Phone sessions can work when bandwidth is limited or a shorter check-in is needed. Live chat or text can support skill practice, quick check-ins, or ongoing connection between visits. These options make it easier to fit therapy around work, caregiving, and other obligations while keeping the focus on progress and usable strategies.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Dissociation
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Grief
- Guilt and shame
- HIV / AIDS
- Intimacy-related issues
- LGBT
- Life purpose
- Midlife crisis
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- District of Columbia
- Languages
- English
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