Arielle Karoub , LCMHC

Arielle Karoub is a licensed clinical mental health counselor (LCMHC) based in North Carolina who helps people facing stress, anxiety, depression, grief, and challenges related to identity and relationships. She supports individuals dealing with trauma and abuse, eating and mood concerns, and life transitions. Her approach is calm and direct, aimed at making therapy practical and understandable for busy people.

Clients can expect a collaborative style that focuses on clear goals and steady progress. Arielle draws on techniques from cognitive behavioral therapy to identify unhelpful thinking and from dialectical behavior therapy to build emotion regulation and coping skills. She also uses acceptance and commitment ideas to help people clarify values and make meaningful changes.

Attachment-based work informs how she looks at patterns in close relationships, including issues like abandonment, communication problems, and trust challenges. Sessions are rooted in a client-centered stance, meaning the person’s experience guides the pace and focus of the work. This helps people feel heard while also learning concrete tools to manage daily stressors.

With three years of clinical experience, Arielle works with a wide range of concerns including LGBT issues, family strain, bipolar mood challenges, and body image and eating-related struggles. She offers sessions in English and accepts clients internationally. Therapy is offered through a subscription model that can be canceled at any time.

To begin, a prospective client completes a short matching questionnaire and schedules sessions according to therapist availability. Arielle aims to create a steady, practical path toward better coping and clearer decisions.

Therapeutic Approaches and Online Options

Arielle uses cognitive behavioral therapy (CBT) to help people spot unhelpful thoughts and change behaviors that keep problems going. CBT is often useful for anxiety, depression, and managing day-to-day stress. She also draws on acceptance and commitment therapy (ACT), which helps people clarify what matters to them and take small actions toward those values even when emotions are strong.

Attachment-based ideas guide how she notices patterns in relationships, such as fears of abandonment or difficulty trusting others. Those ideas help identify why certain reactions repeat and lead to more effective communication and boundaries. Arielle approaches this work collaboratively and will help the client pick methods that fit their goals and preferences rather than imposing one style.

Online therapy offers flexible ways to meet: video calls for face-to-face interaction, phone sessions when bandwidth or movement is limited, and live chat or text-based messaging for short check-ins or when writing feels easier. These options make it simpler to fit sessions around work, caregiving, or travel and allow for steady contact between meetings when that is helpful.