Karen Schwartz Triana, MD, LCPC, LMHC

How Karen’s approaches fit into online therapy

Client-Centered Therapy focuses on following the client’s lead. The therapist listens carefully, reflects what she hears, and adjusts sessions to match the client’s pace and priorities. This approach helps people who need a supportive space to sort through feelings and make decisions.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact. Karen uses CBT techniques to help people identify unhelpful thinking patterns and try new behaviors, which can be useful for anxiety, depression, and stress-related problems.

Motivational Interviewing is a collaborative way to explore readiness for change. It helps people who feel stuck or ambivalent about taking next steps, such as addressing addiction, making career moves, or changing relationship patterns.

Finding the right approach is part of the work. Karen will talk with each person about goals and preferences and then pick methods that fit. She often combines elements from different approaches to meet practical needs and personal style.

Online therapy offers flexible ways to connect. Video calls allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth is low or a simpler check-in is needed. Live chat and text messaging let people send quick updates, work through short concerns, or check progress between longer sessions. These options make it easier to fit therapy into busy lives and to keep momentum between meetings.