- Stress and anxiety
- Relationship issues
- End of life support
About Karen
Karen Hanson-Meganck is an LMFT - Licensed Marriage and Family Therapist with 35 years of professional experience. She practices in Washington and works with adults facing stress, anxiety, relationship and family concerns, trauma and abuse, depression, and addictions. She also addresses issues relevant to LGBT clients and has additional focus areas such as aging and geriatric issues, hospice and end-of-life counseling, and concerns around intimacy and alternative sexual cultures.
Her way of working is direct and practical. She helps people talk through what feels stuck and identify manageable steps forward. Sessions focus on clarifying what matters now and on building day-to-day coping strategies that make pressure easier to handle.
Karen pays attention to family of origin patterns, communication breakdowns, and how past trauma continues to affect present life. She draws on evidence-based therapeutic techniques to address dissociation, domestic violence histories, and symptoms of disrupted mood and depression. She also supports people coping with serious medical issues such as cancer and with the stressors faced by first responders.
Conversations in sessions are straightforward. She listens for recurring patterns, offers alternative ways to approach dilemmas, and practices skills with clients during meetings. Topics like infidelity, commitment doubts, or feelings of emptiness are handled in clear, task-focused work that aims to reduce overwhelm.
People who choose her often want practical guidance after a life change. She asks questions that make next steps more visible. To begin, clients use the site matching process to schedule a first appointment and set initial goals.
Therapeutic methods and working online
Karen uses evidence-based therapeutic techniques to address current problems and past wounds. Cognitive-behavioral approaches focus on identifying unhelpful thoughts and changing behaviors that keep problems going, which can help with anxiety, depression, and coping with stress. Trauma-informed methods pay attention to how traumatic events affect feelings, relationships, and daily functioning, and they include pacing and grounding skills to reduce overwhelming reactions.Choosing the right approach is part of the work together. The therapist will discuss options, try methods in session, and adjust based on how well they match the client's needs, goals, and preferences. This is a collaborative process centered on practical steps rather than promises of a single solution.
Confirm current session options before booking so you know which formats are offered. Online appointments can make it easier to fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when needed. Phone sessions can require less bandwidth, and video sessions allow face-to-face interaction for skills practice and relational work. Ask about the available formats when you complete the matching questionnaire so sessions fit your routine.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
35+ years
Listed in
Washington, California
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, relationship and family problems, trauma and abuse, depression, addictions, and LGBT-related concerns. Additional focus areas include aging, hospice and end-of-life counseling, and issues around kink and alternative sexual culture.
How would she approach feeling stuck or directionless?
Her approach is practical and task-focused. She helps people identify patterns, try small changes, and practice new ways of responding during sessions.
What is her background and experience?
She has 35 years of professional experience working in clinical settings. That experience includes work with trauma, family conflict, and medical-related stressors.
What are her credentials and where does she practice?
She is an LMFT - Licensed Marriage and Family Therapist, licensed in California and Washington, and practices in Washington.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How much do sessions cost?
Cost varies with location. Sessions use a subscription model that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and then schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.