Anne Karsian, LCSW, CSW

Anne Karsian is a Licensed Clinical Social Worker (LCSW) who listens first and moves at each person's pace. She focuses on grief, loss, and big life transitions, and aims to help people feel heard and understood. Anne brings a calm, practical presence for families and individuals facing difficult decisions and change.

Anne draws on seven years of clinical experience in hospital, palliative, and hospice settings. That background means she is familiar with sudden changes, medical crises, and the practical choices that follow. She often helps people who are managing caregiving challenges, chronic illness, cancer, or the loss of a loved one.

Sessions start by hearing a person's story in plain language. Anne follows a curious, respectful approach that helps people name what matters to them. She uses tools from cognitive behavioral therapy and client-centered care to identify unhelpful thoughts and practical ways to cope.

She also uses emotionally-focused and mindfulness-based ideas to help people sit with strong feelings and restore calm. Motivational interviewing is part of her toolkit when someone wants help making a change or clarifying goals. The work is collaborative and grounded in everyday steps that fit real life.

Anne practices in Colorado and brings specific experience supporting older adults through downsizing, advanced care planning, and loss of independence. She understands how grief can be mixed with anger, emptiness, or numbness, and helps people move toward renewed interest and joy when they are ready.

Approaches that translate well to online care

Anne commonly uses cognitive behavioral therapy to help people identify and shift unhelpful thought patterns and build concrete coping skills for anxiety, stress, or low mood. Client-centered therapy is also central to her work, offering a listening, nonjudgmental space where a person’s priorities guide the pace and focus of sessions.

She pairs those methods with emotionally focused and mindfulness techniques to help people process strong feelings and practice calming strategies between sessions. Finding the right mix of approaches is collaborative - Anne will talk with each person about goals and preferences and adjust methods as therapy unfolds.

Online therapy offers flexible ways to connect, including video calls for a more face-to-face experience, phone sessions when bandwidth is limited, and live chat or text messaging for brief check-ins and ongoing support. These options make it easier to fit therapy into a busy schedule, make short follow-ups, or choose a format that feels comfortable for each step in the process.