Therapist Karen Cauthen Photo

Karen Cauthen, LCMHC

Stress, Anxiety Relationships Grief Depression Compassion fatigue
Video Phone Live Chat Messaging

About me

What is hope? It is the fuel that powers change. Whether good or bad, change is constant. How we react to change stimulates interaction with others creating consequences that affects our world.

Hi, my name is Karen. I have a BS in Religion, a MA in Marriage and Family Therapy and I am licensed in the state of North Carolina as a Clinical Mental Health Counselor. My approach to helping people is Eclectic Therapy. I integrate multiple psychotherapies from a variety of disciplines to customize the best possible therapeutic process for each unique client. Whether using a single treatment or a combination of treatments, each counseling session, each treatment plan is adapted to the needs of each individual client, depending on their problem.

I have worked with clients in many venues: hospital, private practice, outpatient facility, crisis line. I have treated and co-treated numerous problems: schizophrenia, bi-polar, GAD, PTSD, ODD, OCD, family, marriage and couple relationship issues, pornography, grief, caregiver burnout, substance use, addictions, career changes, trauma, abuse, and more.

Asking for help is not always easy but it can be extremely rewarding. I hope when we connect that my training, experiences and style is the right fit for you.

Professional experience

3yrs in practice
Stress, Anxiety Relationships Grief Depression Compassion fatigue

Additional areas of focus: Family conflicts, Trauma and abuse, Intimacy-related issues, Parenting issues, Anger management, Self esteem, Career difficulties, Bipolar disorder, Coping with life changes, Aging and Geriatric Issues, Blended Family Issues, Caregiver issues and stress, Codependency, Commitment Issues, Communication problems, Control issues, Coping with Natural or Human-Caused Disaster, Dependent Personality, Divorce and separation, Domestic Violence, Emptiness, Family Problems, First Responder Issues, Forgiveness, Guilt and shame, Hospice and End of Life Counseling, Infidelity, Isolation / loneliness, Jealousy, Life purpose, Midlife crisis, Money and financial issues, Multicultural Concerns, Obsessions, Compulsions, and OCD, Panic disorder and panic attacks, Postpartum Depression, Post-traumatic stress, Prejudice and Discrimination, Process addiction (porn, exercise, gambling), Seasonal Affective Disorder (SAD), Self-Harm, Self-love, Sex Addiction, Sexual Assault and Abuse, Sexual Dysfunction, Sexuality, Social anxiety and phobia, Women's issues, Workplace issues, Young Adult Issues

Clinical approaches: Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Gottman Method, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy, Trauma-Focused Therapy

Services offered

Live Chat

License information

NC LCMHC 13136


These quotes represent just a few of the many positive reviews that we have received for Karen Cauthen. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.

Sooo good! I have such a great time speaking with Karen. She’s really gifted and kind

Written on May 02, 2024 after therapy with Karen for 9 months on issues concerning addictions, eating disorders, sleeping disorders, parenting issues, self esteem, career difficulties, coping with life changes, and compassion fatigue

She is really good

Written on Jan 16, 2024 after therapy with Karen for 2 weeks on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, and self esteem

I really appreciate how she actually listens to me and my concerns. I feel very comfortable with her and she has given me a safe space to talk about things that I never have before. She’s great

Written on Dec 29, 2023 after therapy with Karen for 8 months on issues concerning depression, stress, anxiety, intimacy-related issues, anger management, and bipolar disorder

We have just gotten started. So it’s a bit early to assess where we are.

Written on Dec 27, 2023 after therapy with Karen for 2 weeks on issues concerning depression, relationship issues, and coping with life changes

Karen is kind, caring, and patient. I like how she pauses a lot before responding. It tells me she’s really listening and putting a lot of thought into my situation and any advice she gives me. I feel heard, supported, and encouraged when we speak.

Written on Dec 18, 2023 after therapy with Karen for 3 months on issues concerning stress, anxiety, relationship issues, and coping with life changes

Ms. Karen is very understanding and very compassionate. She makes talking about how I feel easy. I always feel better after our conversations.

Written on Dec 02, 2023 after therapy with Karen for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, grief, parenting issues, self esteem, and coping with life changes