K. Elizabeth Garzarelli, LPC, LCMHC

North Carolina · 33 years in practice

K. Elizabeth Garzarelli is a licensed counselor with more than 33 years of experience.

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 with more than 33 years of experience. She works with people facing stress, anxiety, low self-esteem, career shifts, grief, and the strain that comes with major life changes.

She practices in North Carolina and aims to make therapy straightforward and practical. Elizabeth focuses on helping people find clearer purpose and steadier coping skills. Sessions tend to center on what matters most to each person - current problems, practical steps, and emotional healing.

Background and approach

She uses client-centered and existential approaches to help people feel heard and to clarify values and choices. She also brings tools for trauma processing and deeper change, including EMDR and hypnotherapy when appropriate. Those tools are offered as part of a tailored plan rather than a one-size-fits-all method.

The emphasis is on what helps the individual move forward in daily life. Her background includes work with workplace stress, midlife transitions, caregiving strain, and issues tied to serious illness and aging. She pays attention to how life context affects mood, relationships, and work.

Elizabeth aims to help clients build realistic coping strategies they can use between sessions. When someone reaches out, the first steps are a simple matching questionnaire and a conversation to set goals. Therapy uses clear, direct conversation and practical exercises so people can try things and see what helps.

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 that translate to online care

Client-centered therapy focuses on listening, reflection, and supporting a person's own goals; online sessions use conversation and simple exercises to help clients notice what matters and try small changes. Existential therapy looks at values, meaning, and life choices and can help people navigate midlife questions, career shifts, and feelings of isolation through focused discussion and homework.

EMDR provides a structured way to address traumatic memories and related symptoms; in online work the therapist guides eye movement or other bilateral stimulation and supports the person as they process difficult memories. Hypnotherapy offers guided relaxation and suggestions to help change unhelpful patterns, and it can be used as a tool for stress, sleep, or habit-related concerns during remote sessions.

Deciding which approach to use is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before, and then recommend steps to try together. That plan can change over time based on what feels most helpful.

Online formats such as video calls, phone sessions, live chat, and text-based messaging make it easier to fit therapy into a busy life. Video is useful for full-session conversations, phone can work when bandwidth is limited, chat or messaging can suit brief check-ins or ongoing support, and these options allow people to access care from wherever they are in North Carolina or beyond without travel.

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Questions people ask

What issues does this therapist commonly address?

She works with stress, anxiety, self-esteem, career and workplace concerns, grief, trauma and abuse, parenting strain, depression, and compassion fatigue among other topics.

What is her general therapy style?

Her style is collaborative and person-focused, using client-centered and existential approaches to help people clarify values, set goals, and build practical coping skills.

How long has she practiced?

She has 33 years of professional experience in counseling and related work.

Where does she provide services and what are her credentials?

She practices in North Carolina and holds the credentials LPC and LCMHC with licensure noted in SC and NC as provided.

Can I work with her in languages other than English?

Sessions are offered in English; international clients are not currently accepted.

What session formats are available?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.

How are sessions priced?

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

How do I begin if I want to work with her?

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

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