K. Elizabeth Garzarelli, LPC, LCMHC

K. Elizabeth Garzarelli is a licensed counselor who focuses on helping people manage stress, anxiety, grief, and major life changes. She has 33 years of experience and aims to make therapy practical and understandable. She supports people facing midlife shifts, workplace strain, caregiving demands, and health-related transitions.

She uses a collaborative, down-to-earth style. Sessions typically involve listening closely, naming what feels most urgent, and trying straightforward tools for coping. The work often includes examining values and choices, building self-compassion, and creating steps to reduce daily overwhelm.

Garzarelli draws on client-centered and existential ideas to help people clarify meaning and regain a sense of direction. She also integrates EMDR and hypnotherapy when appropriate to address trauma or deeply held painful memories. These methods are used as part of a flexible plan tailored to each person’s needs.

Her background includes long experience with aging and geriatric issues, cancer-related adjustment, hospice and end-of-life counseling, and caregiver stress. She also helps with workplace issues, relationships, intimacy concerns, and recovery from trauma and abuse.

Sessions are offered in English and are based in North Carolina. Getting started involves completing a short matching questionnaire and scheduling a session through the Start Therapy button. The practice uses a subscription model that can be canceled at any time.

How therapeutic approaches translate online

Client-centered therapy focuses on the person in the room. It emphasizes listening, empathy, and supporting each person to find their own answers; this approach helps with stress, low self-esteem, and life transitions. Existential therapy looks at meaning, choice, and responsibility; it can help when someone is facing midlife questions, grief, or doubts about purpose.

These approaches are used together with other techniques when useful. The therapist will work collaboratively to choose methods that fit a person’s goals, history, and preferences. Figuring out the right mix is part of the early sessions and can change as progress is made.

Confirm which session formats are currently offered before booking, since the profile does not list specific options. Online work can make it easier to fit therapy into a busy life - for example, shorter check-ins can slot into a lunch break, and not needing to travel can save time. Some approaches, like EMDR or hypnotherapy, may be adapted for remote work when both therapist and client agree on the plan. In all cases the focus is on practical outcomes and finding ways to make therapy work with everyday schedules.