- Anxiety management
- Guilt and shame
- Mindfulness practice
About Dale
Dale Karl is a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina with 20 years of experience. She works with people dealing with depression, anxiety, relationship concerns, eating and body-image issues, and matters linked to identity such as LGBT and gender dysphoria. She also helps with guilt and shame, self-esteem, and life transitions.
Dale uses practical, talk-based sessions that focus on the present and on what a person wants to change. She draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered work, and mindfulness practices to offer concrete steps and moments for reflection. Sessions commonly include noticing unhelpful thoughts, trying small experiments, and practicing skills to manage emotions.
Her approach treats difficulties as understandable responses to life events rather than moral failures. History is considered useful, but much of the work looks at current patterns and choices. Clients can expect a conversational, interactive style where questions and feedback shape each session.
Dale has supported people through eating and relationship struggles, midlife changes, and concerns around sexuality and identity. She also addresses attachment and family-of-origin issues when they affect present behavior. She frames challenges like guilt and shame as feelings to be understood and worked with rather than problems that define a person.
To begin, people follow the site's matching steps and schedule a first appointment. Sessions are intended to be practical and focused on what someone wants to change now.
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) focuses on identifying personal values and taking small actions that align with those values. It helps when guilt, shame, or avoidance get in the way of living the life someone wants. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep distress going and uses practical exercises to test and change those patterns. It is useful for anxiety, mood problems, and eating-related behaviors.Finding the best method is part of the work. Dale will collaborate with each person to decide whether ACT, CBT, client-centered talk, or mindfulness fits their goals and preferences. She adapts tools and homework to what the client needs, and reviews progress together as sessions continue.
The biography does not list which online formats she uses, so please confirm current session options before booking. Online work can make it easier to fit appointments into a busy week, allow quieter check-ins that are shorter than an in-person visit, or offer sessions without the need to travel. Therapists and licensed professionals often use these practical benefits to help therapy fit daily life rather than disrupt it.
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
Which kinds of problems does she help with?
Dale works with anxiety, depression, relationship struggles, eating and body-image concerns, LGBT and gender-related issues, guilt and shame, and related life changes.
How does she approach guilt and shame?
She uses present-focused talk, mindfulness, and values-based exercises to help people notice and respond differently to guilt or shame without judging themselves.
What is her experience with these concerns?
She has practiced as a mental health counselor for 20 years working with a wide range of emotional and identity-related challenges.
What credential does she hold and where is she based?
She is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina and practices from that state.
Can I work with her if I live outside the United States?
Sessions are conducted in English and she is not accepting international clients at this time.
What session formats are offered?
Please confirm current session options before booking, as the biography does not specify which formats are used.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started if I want a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the site.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.