About Karensa
Karensa Lewis, LCSW, CSW, uses a practical, relationship-focused approach to therapy. She aims to help people manage anxiety, depression, grief, trauma, and changes in life. Her style is warm and straightforward, and she invites honest conversations about what is and is not working for each person.
She trained in social work with a Bachelor of Social Work from the State University of New York and a Master of Social Work from the University of Houston.
Background and approach
She also completed a fellowship in individual counseling at Baylor College of Medicine. Those experiences shaped how she blends evidence-informed tools with attention to personal history. Over three decades Karensa has worked across settings.
That includes inpatient and outpatient psychiatric clinics, residential programs, hospice work around end-of-life and loss, and a human services organization supporting foster and adoptive parents. More recently she has focused in independent practice on relationship concerns, parenting questions, trauma recovery, and coping with life transitions. In sessions she uses Client-Centered techniques and Cognitive Behavioral Therapy, alongside Attachment-Based and Emotionally-Focused ideas.
She aims to help people notice patterns, test new behaviors, and build stronger emotional connections. Work often includes practical skills for managing stress and anxiety. Karensa emphasizes collaboration.
She asks for feedback about what helps and adapts her approach to each person. She provides therapy from Colorado and conducts sessions in English for adults seeking support with relationship, family, and personal challenges.
How attachment and CBT approaches work online
Attachment-Based Therapy focuses on patterns in close relationships and how early bonds affect current reactions. Online work can help people notice those patterns, practice different responses, and rebuild trust in relationships.Client-Centered Therapy centers the person's experience and emphasizes empathy and listening. In remote sessions this means the therapist follows the client's pace, offers reflective feedback, and helps people clarify their goals and values.
Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors connect and teaches specific skills to change unhelpful patterns. CBT tools translate well to video or phone sessions and can include worksheets, behavioral experiments, and short between-session assignments.
Finding the right approach is a collaborative process. Karensa will talk with each person about goals and preferences and suggest methods that fit their situation. She adjusts techniques as the work unfolds so the plan reflects what is most helpful.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions work when bandwidth is limited or a quieter audio check-in is preferred. Live chat and text-based messaging support brief check-ins, ongoing problem solving, or notes between sessions. These options make it easier to fit therapy into busy schedules and to use different formats for different needs.
Questions people ask
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What this therapist works with
Most often
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sexual assault and abuse
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Colorado
- Languages
- English
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