K. Elizabeth Garzarelli, LPC, LCMHC

North Carolina · 33 years in practice

K. Elizabeth Garzarelli is a licensed counselor who helps people facing big life changes and persistent worries.

License and registration

LCMHC, North Carolina: 3301 · expires June 2027
LPC, South Carolina: 10528 · expires August 2027
NPI: 1215028576 · national provider identifier
Years in practice: 33
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Elizabeth

K. Elizabeth Garzarelli is a licensed counselor who helps people facing big life changes and persistent worries. She has more than 33 years of experience and works with people managing stress, anxiety, depression, grief, and relationship or intimacy concerns.

She focuses on practical support for everyday problems. That can mean coaching around career transitions, helping someone cope with caregiver strain, or talking through feelings after a loss. Sessions aim to restore a sense of direction and build coping skills that fit real life.

Background and approach

Elizabeth uses a few different approaches depending on what a person needs. Her work often draws on Existential therapy to look at life meaning and choices, and on Client-Centered methods that prioritize each person’s pace and perspective. She also includes tools such as Eye Movement Desensitization and Reprocessing and hypnotherapy when those methods match a person's goals.

People describe her style as warm and straightforward, with a focus on clarity and usable steps. She supports issues that range from workplace stress and midlife concerns to aging, cancer-related adjustment, and compassion fatigue. Elizabeth practices in North Carolina as an LPC and a Licensed Clinical Mental Health Counselor.

She provides sessions in English and offers several online formats for people who need flexible scheduling.

Focus areas and approaches

Everything Elizabeth lists on their public professional profile, in their own terms.

Stress, Anxiety
Self esteem
Career difficulties
Coping with life changes
Coaching
LGBT
Relationship issues
Trauma and abuse
Grief
Intimacy-related issues
Parenting issues
Depression
Compassion fatigue
Aging and geriatric issues
Cancer
Caregiver issues and stress
Coping with natural or human-caused disaster
Hospice and end-of-life counseling
Isolation / loneliness
Life purpose
Midlife crisis
Self-love
Women's issues
Workplace issues

Approaches Elizabeth names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Approaches and online therapy options

Elizabeth commonly uses Existential therapy to help clients examine meaning, personal choices, and life direction; this approach is useful for people facing midlife shifts, life purpose questions, or major transitions. She also uses Client-Centered Therapy, which focuses on listening closely and following each person's pace so they can discover solutions that feel right to them. Eye Movement Desensitization and Reprocessing, or EMDR, is used as a targeted method for processing traumatic memories and reducing their emotional charge when that fits a client's needs.

Finding the right approach is part of the work. Elizabeth treats the choice of method as collaborative and will discuss options based on a person's goals, comfort level, and how they respond in the first sessions. She adapts plans over time to match changing needs and preferences.

Online therapy is offered via video calls, phone sessions, live chat, and text-based messaging to make scheduling easier. Video sessions allow face-to-face conversation across distances, phone calls can be simpler when bandwidth is limited, live chat works for quick check-ins, and messaging supports ongoing reflection between sessions. These options provide flexibility so people can fit care into busy lives and keep momentum between appointments.

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Questions people ask

What kinds of concerns does Elizabeth address?

She helps people with stress, anxiety, depression, grief, trauma and abuse, relationship and intimacy issues, parenting strain, career and workplace challenges, and concerns like midlife transitions and life purpose.

What is her therapeutic style and approach?

Her work blends Client-Centered care with Existential therapy to explore meaning and choice, and she uses focused methods like EMDR and hypnotherapy when they are a good fit for the client's goals.

How long has she practiced and what is her background?

She has over 33 years of professional experience supporting adults through major life changes, health transitions, aging concerns, and workplace or caregiving stressors.

What credentials and location apply to her practice?

She holds LPC and LCMHC credentials and practices in North Carolina.

Which languages and international options are available?

Sessions are offered in English. She does not accept international clients at this time.

What session formats does she use?

Therapy is available by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.

How is cost handled for sessions?

Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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