About Karishma
Karishma Sarfani uses an integrative, person-centered approach to help people manage stress, anxiety, addictions, trauma, and low self-esteem. She is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. Karishma focuses on practical steps clients can use between sessions to reduce distress and build confidence.
She helps people who face compulsive behaviors, substance and process addictions, and obsessive-compulsive symptoms. Her work also addresses trauma and abuse, dissociation, and symptoms of post-traumatic stress.
Background and approach
She supports clients coping with grief, relationship breakups, and struggles around life purpose and self-worth. Karishma blends techniques from cognitive behavioral therapy and acceptance and commitment therapy to change unhelpful thinking and to encourage values-driven choices. She uses attachment-based and client-centered ideas to create a trusting space where clients feel heard and respected.
Dialectical behavior therapy skills are offered for emotion regulation and distress tolerance when needed. Sessions emphasize clear goals and skills you can practice. Clients can expect concrete tools for managing urges, reducing anxiety, and interrupting compulsive habits.
Homework and short exercises are used to reinforce progress between contacts. She conducts therapy in English and works with adults in Texas. Karishma invites people who want steady, skills-focused support to begin with a short matching questionnaire and a scheduled start time.
How evidence-based approaches translate to online therapy
Acceptance and Commitment Therapy helps people notice unhelpful thoughts without getting stuck in them and to take small actions toward what matters. This approach can be useful for anxiety, low motivation, and patterns related to addiction.Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thinking and behavior. It offers practical exercises and short homework tasks that fit well into video, phone, or messaging formats to reduce symptoms like panic, compulsions, and depressive thinking.
Client-Centered Therapy prioritizes a respectful, nonjudgmental relationship where the person leads the pace and focus of work. That supportive stance pairs well with online sessions because it centers the client's priorities whether discussing worries, past trauma, or life goals.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort with online formats. Expectations, pacing, and homework are tailored together so the plan feels manageable.
Online therapy offers flexibility in how people connect. Video calls allow face-to-face conversation and real-time skill practice, phone sessions can be easier when bandwidth is limited, live chat is useful for brief check-ins, and text-based messaging lets people write thoughts as they arise. Those options make it easier to fit therapy into a busy schedule and to use supportive tools between sessions.
Questions people ask
What kinds of concerns does she address?
How would you describe her therapy style?
What background and experience does she have?
Where is she based and licensed?
Which languages are sessions offered in?
Can people outside the US work with her?
What session formats are available?
How do fees and scheduling work?
What this counselor works with
Also listed
- Abandonment
- Attachment issues
- Avoidant personality
- Codependency
- Depression
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Guilt and shame
- Life purpose
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Social anxiety and phobia
- Somatization
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Motivational Interviewing
- Narrative Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 5 years
- Licensed
- Texas
- Languages
- English