About Carisa
Carisa Givens is a Licensed Professional Counselor (LPC) based in Texas who focuses on practical, down-to-earth help. She uses clear, respectful conversation to guide people through stress, anxiety, grief, career transitions, and relationship or intimacy concerns. Sessions are offered in English and Spanish and draw on twelve years of clinical experience.
Her approach blends Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered principles. She aims to help people notice patterns that get in the way, try small changes, and build skills for daily life.
Background and approach
Mindfulness and motivational interviewing are also part of her toolbox when clients want to explore values, motivation, or how thoughts affect behavior. Carisa often works on family-related themes such as blended family issues, family of origin concerns, and communication problems. She helps with parenting stress, caregiver strain, and the emotional fallout of life changes.
Grief, hospice and end-of-life counseling, and compassion fatigue are also areas she addresses. Clients can expect a warm and interactive style. Conversations are tailored to each person, focusing on realistic steps and homework when helpful.
The therapist does not use labels to define people and emphasizes respect and sensitivity. Practically, sessions can be held by video call, phone, live chat, or text-based messaging. Carisa accepts international clients and works with people navigating depression, bipolar symptoms, anger, low self-esteem, codependency, and feelings of emptiness or isolation.
How evidence-based approaches work online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters most and take small steps toward those values even when thoughts or feelings are difficult. It is often useful for anxiety, stress, grief, and life transitions because it focuses on action rather than getting stuck in unhelpful thoughts.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions interact. In sessions clients learn practical strategies to test unhelpful thoughts, change patterns, and build routines that improve mood and sleep, which is helpful for depression, anxiety, and anger management.
Client-Centered Therapy emphasizes a respectful, nonjudgmental conversation where the therapist follows the client's lead. This approach supports people who need a safe space to process family issues, relationship struggles, or identity concerns and to find their own solutions.
Choosing the right approach is part of the work. The therapist will collaborate with each client to decide which methods fit their goals, preferences, and day-to-day reality. That process can shift over time as needs change.
Online therapy offers flexible ways to connect. Video calls work well for deeper conversations and visual cues. Phone sessions can fit a short break or low-bandwidth situations. Live chat and text-based messaging offer ongoing check-ins and brief coaching between sessions. Those options make it easier to keep therapy consistent around work, caregiving, or travel.
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What this counselor works with
Most often
- Stress, Anxiety
- Family conflicts
- Grief
Also listed
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 12 years
- Licensed
- Texas, Oregon
- Languages
- English, Spanish