Karina Pickard
Virtual Therapist
Washington State
What do you specialize in?
I specialize in working with anxiety, perfectionism, high achievers, people-pleasing, life transitions, burnout, and the unique pressures experienced by students and athletes. I also work with a variety of other concerns and populations, so you don’t have to fit perfectly into a specific category to reach out.
What can I expect from therapy with you?
Therapy with me is collaborative, person-centered, and focused on helping you better understand yourself- not just manage symptoms. We’ll work together to understand what’s underneath your anxiety or other challenges, build practical tools, and process what may be keeping you feeling stuck.
Do you offer EMDR?
Yes. I am EMDR-trained and incorporate EMDR when it is clinically appropriate and fits your goals. EMDR can be helpful for processing distressing or overwhelming experiences, but therapy will always be tailored to you rather than following a one-size-fits-all approach.
Do I have to do EMDR working with you?
No, while I am EMDR-trained and incorporate EMDR when it is clinically appropriate and fits your goals. EMDR can be helpful for processing distressing or overwhelming experiences, but therapy will always be tailored to you rather than following a one-size-fits-all approach.
What do you offer besides EMDR?
EMDR is one of the approaches I use, but it’s definitely not the only one! I also incorporate CBT, somatic approaches, parts work, self-compassion, motivational interviewing, and mindfulness-based techniques, depending on what you need.
Therapy with me isn’t about fitting you into one specific treatment model. We’ll work together to understand what’s going on and find approaches that feel helpful, supportive, and relevant to you. 🤍
Do I have to have a specific diagnosis to start therapy?
No. You don’t need to have a diagnosis or know exactly what is “wrong” before reaching out. If you’re feeling stuck, overwhelmed, anxious, disconnected from yourself, or struggling to navigate a transition, therapy can be a space to explore what’s going on and determine what support would be most helpful.
Who do you work with?
I work with individuals ages 16 and older, including adolescents, college students, young adults, and adults. I especially enjoy working with students, athletes, high achievers, and individuals navigating anxiety, perfectionism, burnout, and life transitions.
What states do you provide therapy in?
Washington only right now! I am trying to expand.
How long is a standard session?
A standard session is 45-55 minutes in length. I additionally offer Extended Intensive Therapy Sessions for clients who are looking for more time to process together. These are typically two hour sessions designed to create dedicated space for deeper therapeutic work around a specific concern or goal.
How much does therapy cost
My private pay rate is $150.00. For an intensive 2 hour session my rate is $300.00.
Do you accept insurance?
I accept a number of insurance plans at this time including Aetna, Carelon Behavioral Health, and Blue Cross Blue Shield.