About Karina
Karina Fernandez is a licensed clinical social worker with 16 years in mental health care. She helps people who feel overwhelmed by stress, anxiety, grief, depression, or major life changes. Karina speaks English and Spanish and practices in Tennessee as an LCSW.
Her work has included supporting people who have experienced trauma and survivors of violent crimes. She has also helped individuals facing complicated grief, addiction struggles, caregiver stress, and compassion fatigue.
Background and approach
Her background spans clinical settings focused on mood disorders, PTSD, and crisis recovery. In sessions Karina uses straightforward, practical methods. She draws on cognitive behavioral techniques to identify unhelpful thought patterns.
She offers mindfulness skills to reduce reactivity and increase calm. Karina also uses client-centered ways of working that prioritize each person’s goals and strengths. For people with intense trauma memories she incorporates approaches aimed at processing those experiences.
She frames therapy as a collaborative process where the client leads and she guides. Her style is supportive and focused on building coping skills that fit daily life. She helps people with sleep problems, relationship and family concerns, codependency, and communication issues.
Karina aims to make therapy clear, manageable, and relevant to real-world challenges.
Evidence-based approaches for online care
Client-centered therapy focuses on listening, validation, and building on a person’s strengths to set goals and guide change. It helps when someone needs an empathetic space to sort priorities and define what they want from therapy.Cognitive behavioral therapy, or CBT, teaches practical skills to notice and change unhelpful thoughts and behaviors. It is useful for anxiety, depression, sleep problems, and everyday stress by giving clear tools to practice between sessions.
Dialectical behavior therapy, or DBT, includes emotion regulation, distress tolerance, and effective communication skills. It can help people manage intense emotions and improve coping during stressful moments.
Finding the right approach is part of the work together. The therapist will discuss needs, goals, and preferences and then recommend methods to try. That collaborative planning makes sure techniques fit the client’s life and challenges.
Online therapy offers flexibility with video calls, phone sessions, live chat, or text-based messaging. Video is good for full sessions and visual cues, phone can work when bandwidth is low, and chat or text are useful for brief check-ins or on-the-go support. These options let people fit therapy into work, caregiving, or busy schedules while keeping the process consistent and focused.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Blended family issues
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Domestic violence
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 16 years
- Licensed
- Tennessee
- Languages
- English, Spanish
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