Kara Fedore

Kara Fedore is a Licensed Clinical Social Worker (LCSW) practicing in Tennessee with eight years of clinical experience. She works with people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, depression, relationship strains, and challenges tied to life changes. Her practice also includes concerns such as compassion fatigue and issues around life purpose. Kara often uses a client-centered stance and combines techniques from EMDR, cognitive behavioral therapy, dialectical behavior therapy, and motivational interviewing. In sessions she listens for what matters most and builds practical steps to address those priorities. Conversations focus on concrete problems and next steps rather than abstract theory. People who come to Kara might be dealing with substance use, family-of-origin wounds, blended family dynamics, adoption and foster care questions, attachment concerns, fertility-related stress, or body image struggles. She also works with addiction-related issues like drug and alcohol problems and with co-occurring challenges such as codependency and communication problems. Her approach emphasizes problem solving, skill building, and processing difficult memories when appropriate. Sessions can include tools for coping with overwhelm, strategies to shift unhelpful thoughts and patterns, and guided work on traumatic memories using EMDR elements when clinically relevant. Kara frames therapy as a practical weekly investment in making life better where possible. She encourages people who feel stuck after a change - at work or in life - to start by naming one small concern and bring it to a first session. The work that follows is collaborative and paced to each person’s needs.

How Kara’s approaches translate to online work

Client-centered therapy focuses on the person’s goals and experience and helps guide the direction of sessions. It is about listening, reflecting, and shaping practical next steps to address what feels most urgent. Cognitive behavioral therapy (CBT) looks at thoughts and behaviors and teaches concrete strategies to reduce anxiety, manage mood, and change unhelpful patterns. Dialectical behavior therapy (DBT) offers skills for regulating emotion, tolerating distress, and improving communication with others. Both approaches emphasize skill practice between sessions and can fit well into weekly online meetings. Choosing the best approach is part of the work. The therapist will collaborate with each person to decide which methods and exercises fit their needs and goals. That decision can shift over time as priorities change and progress is made. Confirm the exact session formats before booking. The practical benefits of online therapy include fitting sessions into a busy week, avoiding travel time, and making it easier to keep regular appointments. Some formats use less bandwidth or can be shorter check-ins when needed, which helps people maintain momentum without disrupting daily routines.