K. Elizabeth Garzarelli, LPC, LCMHC

K. Elizabeth Garzarelli is a licensed counselor who helps people facing big life changes and the stress that comes with them. She has 33 years of experience and works with individuals dealing with anxiety, depression, job strain, and the uncertainty that can come in midlife.

Her style is steady and practical. Sessions focus on clear goals, improving coping skills, and reconnecting with purpose. She creates a conversational space to talk through what is hardest right now and what small steps feel doable next.

Elizabeth blends client-centered and existential approaches to help people clarify values and make decisions that fit their lives. She also uses eye movement desensitization and reprocessing, and hypnotherapy when appropriate, to address trauma responses and deeply held patterns.

She has worked with caregivers, people facing serious illness, and those dealing with grief and isolation. Much of her practice supports people navigating workplace stress, relationship strain, and the transitions that come with aging and midlife shifts.

Licensed as an LPC and as a Licensed Clinical Mental Health Counselor, she practices in North Carolina. Her work emphasizes collaboration: she helps clients name priorities, try new strategies, and adjust plans as progress is made.

How her approaches translate to online care

Client-centered therapy focuses on listening closely and following the client's lead to set goals and solve problems. This approach helps when someone needs practical support for stress, life transitions, and improving self-esteem. Existential therapy looks at meaning, choices, and what matters most, which can be useful for people facing midlife questions or major role changes. EMDR addresses upsetting memories and trauma-related responses by using structured protocols to reduce distress and shift how memories are held.

Finding the right approach is part of the work together. The therapist will discuss options and help decide which methods feel like the best fit given the client's goals and preferences. Treatment plans can be adjusted as progress is made and new needs appear, with a collaborative pace and focus on workable steps.

Confirm current session options before booking, as formats are not specified here. Online work can make it easier to fit sessions into a busy week, reduce travel time, and allow check-ins from different locations. Some approaches, like conversational goal-setting, translate naturally to remote sessions, while trauma-focused tools are adapted carefully to each person's situation. Ask about which methods the therapist recommends and how they typically structure online visits.