Karen Murphree, LCSW

Karen Murphree is a Licensed Clinical Social Worker (LCSW) licensed in Oregon and Missouri with three decades of clinical experience. She works with adults who are dealing with stress, anxiety, grief, depression, relationship and intimacy concerns, and the effects of trauma and abuse. She also addresses issues tied to identity such as LGBT matters and gender dysphoria, and supports people facing caregiver stress, chronic illness, body image worries, and life transitions.

Her style is practical and varied. She draws on a mix of approaches rather than a single method. Sessions may include conversations about feelings and behaviors, plus instructional techniques to manage distress and build skills for everyday life.

Karen integrates attachment-based ideas to help people understand relationship patterns and where they began. She uses cognitive behavioral methods to notice and change unhelpful thoughts and behaviors. She also uses elements from dialectical behavior approaches to teach emotion regulation and distress tolerance skills.

She brings life experience and a background that includes nursing and studies in natural health and health coaching. That background informs how she looks at the link between food, sleep, movement, and mood. She may suggest resources such as articles, exercises, or practices to try between sessions.

Karen identifies as LGBTQIA2S+ and as genderfluid and is explicit about being welcoming to kink, polyamory, neurodivergence, and expansive identities. The focus in sessions is on helping adults clarify values, understand attachment and control patterns, and move toward practical changes that fit their daily lives.

How therapeutic approaches translate to remote work