- ACT and CBT
- Attachment-focused work
- Messaging therapy
About Karishma
Karishma Sarfani is a Licensed Professional Counselor (LPC) licensed in Texas with five years of clinical experience. She works with people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Her practice also addresses concerns such as attachment issues, dissociation, OCD and process addictions, and questions about life purpose.
She frames clients as experts in their own stories and focuses on practical steps that build on existing strengths. Sessions emphasize learning concrete skills for managing urges, reducing rituals, and coping with intense fears or intrusive thoughts. She guides people through relapse prevention and strategies for reducing substance and behavioral cravings.
Karishma often uses approaches that focus on values, present-moment awareness, and changing unhelpful thinking. She also draws on attachment-focused work to look at relationships and patterns that affect emotion regulation. Therapy includes skill teaching, behavioral experiments, and written reflections to track progress.
People can expect messaging-based exchanges as the main way to communicate. Messages can be used for short updates or longer reflections and are checked and replied to within a 24 to 48 hour window. That written record becomes a tool to revisit coping strategies and notice change over time.
Her work is practical and steady, aimed at helping people reduce immediate distress and develop coping habits that fit everyday life. Clients in Texas who are looking for support with life purpose or recovery-related concerns may find this format useful.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take actions aligned with those values while learning to notice difficult thoughts without getting stuck in them. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce anxiety, compulsions, and low mood. Attachment-Based Therapy looks at patterns in relationships and how early or current attachment experiences affect emotions and coping.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs, goals, and preferences. That process can include trying different strategies and adjusting based on what helps most.
This therapist practices primarily through written message exchanges. Confirm specific session options before booking if you need a different format. Messaging can make it easier to fit therapy into a busy schedule because short updates or longer reflections can be sent when convenient. Written exchanges also create a record to review between messages, and responses are typically provided within a 24 to 48 hour window, which supports steady progress without requiring live appointments.
Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression, plus related concerns like OCD, dissociation, and life purpose.
How does she approach feelings of being stuck?
She uses approaches that emphasize values, present-moment awareness, and changing unhelpful thoughts, paired with practical skills and behavioral experiments.
What experience does she have?
She has five years of professional work experience helping people with relapse, compulsive behaviors, trauma-related symptoms, and anxiety.
What are her credentials and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.
Does she work in languages other than English?
Sessions are offered in English.
Can people outside the United States work with her?
She does not accept international clients at this time.
How are sessions arranged and what does it cost?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.