About Anne
Anne Karsian is a Licensed Clinical Social Worker who focuses on helping people navigate anxiety, grief, life changes, and stress. She offers a calm, steady presence and listens first to what matters to each person. Her approach aims to help people feel understood and to find practical ways forward.
Anne draws on seven years of clinical experience that includes work in acute care hospitals, palliative care, and hospice settings. She has helped people facing sudden medical events, long-term illness, and the complex decisions that come with aging.
Background and approach
That experience informs how she talks with people about loss, independence, and changing roles. In sessions, she starts by learning a person’s story at their pace. Conversations are guided by curiosity and respectful questions rather than quick fixes.
This helps people feel seen and identify what matters most to them as they cope with grief, anxiety, or transitions. Her style blends practical techniques with emotional support. She uses methods that include client-centered listening, cognitive behavioral ideas, and mindfulness tools to reduce stress and reframe unhelpful thoughts.
She also incorporates emotion-focused work when relationships and intimacy-related issues are central. People looking for support with career shifts, parenting stress, caregiver strain, or chronic illness concerns can expect focused, down-to-earth work. Anne helps people make concrete plans, practice new skills, and find ways to reconnect with what brings meaning.
She works from Colorado as a Licensed Clinical Social Worker (LCSW) and holds CSW as well.
How these approaches work online
Anne uses client-centered therapy to start by listening closely to each person's story and priorities. This approach helps build trust and makes it easier to set goals that feel relevant and realistic for anxiety, grief, or life changes.She also uses cognitive behavioral therapy ideas to identify thought patterns that increase stress or worry. CBT techniques are practical and often involve small exercises between sessions to test new ways of thinking and behaving, which can help reduce anxious reactions and improve mood.
The therapist treats the choice of approach as a shared decision. During early sessions she will ask about your goals, day-to-day challenges, and what has or hasn’t worked in the past. Together you will try approaches and adjust the plan based on what helps most.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth conversations and practicing skills with visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging are helpful for quick updates, brief coping tools, or when a person prefers written communication. These options make it easier to fit therapy into a busy schedule and to keep regular contact while working toward your goals.
Questions people ask
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What this therapist works with
Most often
- Family conflicts
- Grief
- Self esteem
Also listed
- Aging and geriatric issues
- Anger management
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Emptiness
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Parenting issues
- Prejudice and discrimination
- Relationship issues
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Colorado
- Languages
- English
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