Karese is a registered dental hygienist, myofunctional therapist, author, and key opinion leader in sleep and myofunctional therapy. She founded The Myo Spot, a practice aimed at amplifying oral wellness to whole body wellness. Through teletherapy she helps clients of all ages overcome tongue ties, TMJ disorders, sleep apnea, grinding, anxiety, and various breathing and orofacial dysfunction. Passionate about education and self-help, she published Accomplished: How to Sleep Better, Eliminate Burnout and Execute Goals. She also founded the International Association of Airway Hygienists and currently serves as president of the board.