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- Stress and anxiety
- Substance use help
- Practical coping tools
About Karen
Karen Lilley is a Licensed Certified Social Worker in Maryland (LCSW-C) and a Licensed Clinical Social Worker in Louisiana (LCSW) with 30 years of clinical experience. She focuses on stress, anxiety, addictions, anger, self-esteem, and depression. She works with people who feel stuck or are carrying heavy responsibilities and need direct, practical help.
Her stated approach is strength-based and direct. She offers practical tools rather than only telling life stories. Sessions aim to identify what is getting in the way now and build steps people can use between appointments.
Karen lists substance use disorders and addiction recovery among her specialties and also notes grief, women’s issues, older persons, and youth aged 13 and up in her original biography. She helps with attachment issues, body image, caregiver stress, communication problems, control issues, drug and alcohol addiction, first responder stress, guilt and shame, isolation, mood disorders, panic attacks, self-love, social anxiety, and workplace problems.
Her practice emphasizes clear, actionable work alongside emotional support. People can expect direct feedback and strategies aimed at daily functioning, coping, and recovery. The subscription model for sessions can be canceled at any time.
To begin, prospective clients complete a short matching questionnaire and schedule an initial session. Sessions are conducted in English and Karen does not accept international clients.
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How evidence-based approaches work in remote sessions
Evidence-based techniques focus on specific skills people can practice. Behavioral strategies teach concrete coping actions for anxiety, panic, and mood problems, such as gradual exposure to feared situations and activity planning to lift mood. These methods help reduce avoidance and rebuild daily routines.Cognitive skills target unhelpful thinking patterns that feed worry, low self-esteem, and guilt. Sessions include identifying common thoughts, testing them with real-life experiments, and replacing them with more balanced thinking to reduce distress and improve decision making.
Choosing the right approach is collaborative. The therapist will work with each person to find what fits their needs and goals, adjust methods over time, and check progress. That process helps match techniques to the problem at hand and to personal preferences.
Session formats are not specified in the biography, so confirm current session options before booking. Online work can make it easier to fit appointments into a busy week, allow shorter check-ins when needed, and reduce travel time. Talk with the therapist about what will work practically for scheduling and the type of session that fits daily life.
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Areas of expertise
Primary focus
Additional focus areas
Experience
30+ years
Listed in
Maryland, Louisiana
Languages
English
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Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, addictions, anger, low self-esteem, and depression. Additional focus areas include attachment, body image, caregiver stress, communication issues, and workplace problems.
What is her approach in sessions?
Her approach is strength-based and direct, with an emphasis on practical tools people can use between sessions. She balances emotional support with actionable steps.
How much clinical experience does she have?
She has 30 years of experience in clinical practice. That experience includes work with substance use disorders and grief.
What credentials and location are listed?
She holds LCSW-C in Maryland and LCSW in Louisiana and practices from Maryland. These are the exact credentials provided.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions scheduled and paid for?
Sessions use a subscription that can be canceled at any time. Cost varies with location, so check the subscription details for exact pricing.
How do I get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.