About Karishma
Karishma Sarfani is a licensed professional counselor (LPC) in Texas with five years of clinical experience. She focuses on anxiety, stress, addictions, trauma and abuse, self-esteem, and depression. Karishma approaches therapy with respect for each person's strengths and story.
She encourages small steps toward change and offers steady support along the way. In sessions she uses practical tools from cognitive behavioral therapy to help people notice unhelpful thoughts and try different behaviors.
Background and approach
She also draws on acceptance and commitment therapy to help clarify values and take meaningful action despite difficult feelings. Attachment-based ideas guide conversations about how past relationships shape current patterns and reactions. Karishma works with people facing a range of struggles, including overwhelming fears, obsessive-compulsive symptoms, substance and process addictions, dissociation, and effects of sexual or relational trauma.
She helps people reduce urges, manage compulsions, and strengthen motivation when relapse or binge behaviors are a problem. She also supports people dealing with grief, guilt, and identity questions. Her style is collaborative and straightforward.
Clients can expect evidence-informed techniques combined with a calm, nonjudgmental stance. Progress often looks like smaller, steady changes rather than quick fixes. Therapy is offered in English.
Sessions use messaging, phone, live chat, or video formats depending on the appointment type, and practical next steps are discussed together at the start of work.
Using evidence-based approaches in online care
Karishma integrates cognitive behavioral therapy and acceptance and commitment therapy into online work. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety and compulsions. Acceptance and commitment therapy emphasizes clarifying personal values and taking action even when uncomfortable feelings are present.Finding the best approach is a collaborative process. The therapist will discuss your goals, symptoms, and preferences and help choose methods that feel like a good fit. Plans are adjusted over time based on what helps you make steady progress.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video sessions allow face-to-face conversations and skills practice. Phone sessions can be easier when bandwidth is limited or you prefer no video. Live chat and messaging are useful for brief check-ins, journaling thoughts, and keeping a written record of strategies. These options make it simpler to fit therapy into work, school, or caregiving schedules while maintaining continuity of care.
Questions people ask
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What this therapist 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
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