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Killingsworth was forced to give up her active lifestyle after several surgeries. She became seriously depressed and credits her self-taught pencil art as the activity which saved her. Killingsworth chooses colored pencils because they allow her the fine details she loves. She is intrigued by the awe of ordinary objects and the artistic possibilities they offer. She is a member of the Colored Pencil Society of America, and has been an award winner in their International Exhibition. Her artwork has also been published in colored pencil magazines, and she has illustrated two books. Killingsworth also designs note cards from her work for companies in New York, Chicago and San Francisco. She is also one of the founders of the Historic Yellow Springs Art Show located in Chester Springs, Pennsylvania.