- Stress and anxiety
- Family of origin issues
- Eating and body image
About Dale
Dale Karl is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 20 years of experience. She works with adults who are dealing with stress, anxiety, depression, relationship struggles, eating and body-image concerns, and issues related to sexuality and gender identity. Dale also helps people who are sorting through patterns that began in their family of origin and who want clearer boundaries and healthier connections.
Dale uses straightforward, interactive sessions that focus on the present. She draws from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, and mindfulness practices. Sessions mix practical skills with reflective conversation so people can notice unhelpful patterns and try new responses.
She treats people respectfully and avoids stigmatizing labels. Her approach assumes people are doing the best they can and that behavior often makes sense given a person’s history and current situation. That perspective guides work on self-esteem, commitment worries, and intimacy-related concerns.
Dale encourages exploring how childhood roles and family expectations still affect daily life now. She helps people look at attachment patterns, forgiveness, and guilt or shame that can follow from family dynamics. Much of the work is practical - changing small habits, testing new communication, and practicing acceptance when complete change isn’t possible.
People begin by describing what matters most to them now. From there she and the person set small, concrete steps to reduce distress and increase clarity about values and goals.
Therapeutic approaches used in remote sessions
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values while accepting difficult thoughts and feelings. It is useful for anxiety, stress, and relationship confusion. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce symptoms like persistent worry or low mood. Client-Centered Therapy prioritizes the person’s experience and supports clearer self-understanding through open, respectful conversation.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs, goals, and preferences. This often means combining practical skills training with reflective discussion and adjusting over time based on what helps most.
The original profile does not list specific session formats, so confirm the available options before booking. Many people find online sessions helpful because they can fit appointments into a busy week, reduce travel time, and make it easier to check in during short breaks. Phone sessions can be simpler when bandwidth is low, and video sessions allow for face-to-face conversation and practice of communication skills. Discussing how sessions will fit into daily life is a normal early step in planning care.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What concerns does she commonly address?
Dale works with stress, anxiety, depression, relationship and intimacy-related concerns, eating and body-image issues, and topics connected to family of origin and identity.
What is her therapeutic style like?
She uses an interactive, present-focused approach combining practical skills and reflective conversation to change patterns and clarify values.
How much clinical experience does she have?
She has 20 years of experience as a mental health counselor in North Carolina.
What credentials and location are listed?
She is an LCMHC licensed in North Carolina and practices in that state.
Which languages are supported and are international clients accepted?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
Confirm current session options before booking, as the original profile does not list specific formats.
How does billing and cost work?
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.