Karen Gravel

Karen Gravel is a licensed mental health counselor (LMHC) who helps people find relief from stress, anxiety, depression, and life changes. She focuses on practical steps people can use right away. Sessions emphasize finding new ways to think and act when old patterns get in the way. Karen approaches therapy as a collaborative process that centers each person’s goals and values.

She uses several evidence-based approaches to tailor care to the person in front of her. That often means identifying automatic thoughts and behaviors and trying small, manageable experiments to shift them. Narrative work can help people tell a clearer story about what happened and what they want next. Solution-focused techniques are used to set concrete, short-term goals and track progress.

Karen has worked in community mental health, crisis services, and international and military settings. That background informs her practical approach to problems like substance dependence, cultural adjustment, and mood disorders. She brings eight years of clinical experience to her practice and seeks to match interventions to each person’s situation.

Therapy sessions are guided by what the client needs and values. Karen emphasizes collaboration, respect, and steady skills-building. People who want focused, goal-oriented work that also addresses deeper beliefs about self and relationships may find her style helpful.

If divorce or separation is part of your story, she lists that among her focus areas and can address communication, attachment issues, infidelity, and related concerns as they come up in therapy.

How approaches like CBT and Motivational Interviewing work online

Karen uses Cognitive Behavioral Therapy to help people notice and change automatic thoughts and behaviors that worsen anxiety, depression, or stress. CBT often includes tracking thoughts, testing unhelpful beliefs, and practicing new behaviors between sessions. Motivational Interviewing is a conversational, person-centered method that helps someone sort through mixed feelings and build motivation for change, which can be useful for addictions, habit changes, or big life decisions.

Choosing an approach is a collaborative process. The therapist will talk with each person about their goals, preferences, and what has or has not worked before. Together they decide which methods to try and adjust course as needed based on what helps most.

Please confirm current session formats before booking since options are not specified here. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It also makes working with a Massachusetts-based LMHC possible from different locations, including international settings, so scheduling can focus on finding times that suit your life rather than travel logistics.