K. Elizabeth Garzarelli

K. Elizabeth Garzarelli is a Licensed Professional Counselor and Licensed Clinical Mental Health Counselor (LPC, LCMHC) with 33 years of experience. She is based in North Carolina and works with adults facing stress, anxiety, low self-esteem, career questions, grief, trauma, and life changes including midlife transitions and caregiving challenges. She also lists life purpose among her focus areas. Her sessions tend to center on practical conversation. She listens for what matters now and helps clients name the pressures they face. Conversations look at everyday choices, relationships, and work patterns so people can make clearer decisions about next steps. Elizabeth uses client-centered work to follow each person’s lead and help them feel understood. She also draws on existential ideas to look at meaning, values, and responsibility when people question what comes next. For trauma and intense memories she lists EMDR and for certain situations hypnotherapy is an option. She has long experience supporting women, people facing aging or serious health concerns, caretakers, and workers dealing with workplace stress. That experience informs how she frames practical coping strategies and longer-term goals. Getting started involves a short matching questionnaire and scheduling a first session through the site. Costs vary by location and sessions use a subscription that can be canceled at any time. Sessions are offered in English and international clients are not currently accepted.

How her approaches translate to online work

Client-Centered Therapy focuses on listening and following the client’s priorities. In practice this means conversations that center on what the client brings each week and practical next steps to try in daily life. It helps with stress, career uncertainty, and relationship questions.

Existential Therapy looks at meaning, values, and choice. It can help when people are questioning purpose, facing midlife decisions, or coping with major loss. The work often involves reflecting on what matters and testing small changes that align with those values.

EMDR is listed as an approach for working with traumatic memories. It involves structured processing of distressing memories and can be used when past events continue to affect present functioning.

Choosing an approach is part of the work together. The therapist will discuss options and help the client decide which methods fit their needs, goals, and preferences. This is a collaborative process and can change as goals evolve.

Confirm which session formats are offered before booking by checking the online therapy options. Many people find online sessions make it easier to fit therapy into busy schedules, allow shorter check-ins when time is tight, or remove travel time after work. The therapist will work with the client to match session rhythm and length to everyday life and commitments.