Karen Cauthen

Therapist Karen Cauthen Photo

About Me

Relationships are like air, they are everywhere all the time. They are formed with various beings and things. However, it is the relationships that create those defining moments in our life that cause us so much trouble. It is how we react to the change each defining moment demands of us that cements or vaporizes relationships.

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.


  • Stress, Anxiety
  • Relationship issues
  • Grief
  • Depression
  • Compassion fatigue
Also experienced in:
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 , Read more...

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

Years of Experience: 3

Services Offered

  • Messaging

  • Phone

  • Video


LCMHC #13136 (Expires: 2023-06-30)


Written by J.O. on Jan 07, 2022 after therapy with Karen for 2 weeks on issues concerning relationship

Karen is really helpful. She listens to me carefully. She gave my useful advice.

Written by L.I. on Aug 30, 2021 after therapy with Karen for 1 month on issues concerning relationship

Karen has been very helpful to my husband and I. She helps us work through complicated issues.

Written by H.A. on Apr 18, 2021 after therapy with Karen for 2 weeks on issues concerning relationship

Karen Cauthen is an amazing therapist. She helped my fiance and me out in many ways, and we look forward to putting her advice into action. She listens well and gives amazing advice when needed. Her worksheets are very helpful as well. 10/10 would recommend.