Her practice consists of older adolescents and adults. She provides Individual as well as marital, family and group psychotherapy. In addition, Dr. Binder-Brynes is a leading expert in the field of posttraumatic stress. Dr. Karen Binder-Brynes has recently been contracted to the Episcopal Church to counsel and debrief returning Military Episcopal Clergy who have been deployed in Iraq. Recently, Dr. Karen Binder-Brynes has become a charter member of the Division of Trauma Psychology of The American Psychological Association and has been appointed to the Committee of Disaster Response. She is currently working on setting up remote video trauma relief counseling programs in conjunction with the Episcopal Church in the New Orleans area.