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Arielle Karoub

Arielle Karoub, LCMHC

North Carolina

LCMHC in North Carolina - family patterns and relationships

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  • Stress and anxiety
  • Family of origin issues
  • CBT and ACT methods

About Arielle

Arielle Karoub is an LCMHC (Licensed Clinical Mental Health Counselor) practicing in North Carolina with three years of clinical experience. She works with people managing stress, anxiety, relationship strains, family concerns, mood changes, and issues related to identity including LGBT matters. She also supports those coping with grief, eating or body image concerns, and the effects of trauma and abuse.

In sessions she focuses on patterns that come from the family someone grew up in. She helps people name repeated roles and expectations that still affect their behavior and feelings. Conversations often cover attachment problems, abandonment worries, and communication or trust issues in close relationships.

Her approach draws on several practical methods. She uses cognitive behavioral techniques to spot unhelpful thoughts, acceptance and commitment ideas to clarify values and small action steps, and attachment-informed work to look at early relational patterns. She can also use client-centered and dialectical behavior tools when the situation calls for them.

Sessions tend to be direct and task-focused. Clients can expect to talk through specific problems, practice new skills, and explore where old family patterns show up now. The emphasis is on clearer thinking and small, manageable changes rather than long theory talks.

People who choose her often want to understand how childhood roles shape adult choices. The process is collaborative and practical, with attention to communication, boundaries, and coping strategies for everyday life.

Therapeutic approaches and online sessions

Arielle commonly uses Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy in her work. ACT focuses on clarifying personal values and taking small behavior changes that match those values while learning to accept uncomfortable feelings. Attachment-Based Therapy looks at early relationships and how they shape current patterns in trust, closeness, and boundaries.

Choosing the right approach is part of the work. She will collaborate with each person to decide which methods fit best given their goals, concerns, and preferences. That discussion helps shape session priorities and which skills to practice between meetings.

The biography did not list specific session formats, so please confirm the current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, require less travel time, and allow for shorter check-ins when needed. Therapists often adapt exercises and skills practice to work well over remote sessions and to match each persons daily life.

Areas of expertise

Also works with

Relationship issuesFamily conflictsGriefEating disordersBipolar disorderCoping with life changes

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDissociationDivorce and separationEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameImpulsivityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSelf-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman MethodMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

3+ years

Listed in

North Carolina

Languages

English

Frequently asked questions

What concerns does she address?

She works with stress, anxiety, relationship and family issues, mood concerns like depression and bipolar, grief, eating and body image problems, and trauma and abuse.

How would you describe her therapy style?

She uses direct, practical sessions that focus on current patterns. Conversations include skill practice, communication work, and identifying family-of-origin influences.

What is her clinical experience?

She has three years of experience as a licensed psychotherapist working with the listed concerns.

What are her credentials and where is she based?

She is an LCMHC (Licensed Clinical Mental Health Counselor) licensed in North Carolina and practices there.

Which languages are supported?

Sessions are offered in English, and she accepts international clients.

What session formats are available?

Please confirm current session options before booking, as the original biography did not specify which formats are offered.

How are sessions priced?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.

Arielle KaroubLCMHC

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