Karen Buroff, LCSW

Karen Buroff is an LCSW with 15 years of clinical experience. She uses practical, evidence-informed approaches to help people facing anxiety, depression, trauma, and life transitions. Karen keeps sessions warm and interactive and focuses on each person's strengths and goals.

Her work centers on Cognitive Behavioral Therapy, along with client-centered and mindfulness-based methods. She combines talk-based strategies with skills practice so people can manage symptoms between sessions. That makes therapy feel more like learning tools than just talking.

Karen has spent significant time supporting people who have experienced trauma and abuse, including those with military backgrounds. She also helps with stress, addictions, self-esteem, relationship and intimacy concerns, grief, sleep or eating problems, and parenting pressures. Her experience includes complex presentations such as co-occurring conditions, dissociation, and personality-related difficulties.

Sessions are organized around what each person needs. Karen listens first, then builds a collaborative plan with clear steps and practical exercises. She highlights small, achievable changes so progress is noticeable and manageable.

People looking for support can expect direct, compassionate guidance and help developing everyday skills for coping, communication, and mood management. Karen practices in California and offers a range of online session formats to fit different schedules and needs.

How Karen’s Approaches Work Online

Karen blends Cognitive Behavioral Therapy and Trauma-Focused and Client-Centered approaches in online sessions. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety and depressive symptoms. Trauma-Focused work addresses the effects of past harm through pacing, grounding, and targeted strategies to reduce reactivity. Client-Centered methods emphasize listening, empathy, and tailoring the plan to each person's strengths and goals.

Choosing the right approach is a team effort. Karen will talk with the client about goals, symptoms, and preferences, then suggest options and adjust the plan as progress is made. That collaborative process helps match techniques to what the person finds most useful and tolerable.

Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging to make care flexible. Video allows face-to-face conversation and visual cues. Phone sessions work well when bandwidth is limited or a quieter audio check-in is needed. Live chat and text messaging suit brief check-ins, skill practice, or people who prefer typing over speaking. These formats make it easier to fit therapy into work, caregiving, or busy life schedules while keeping a steady course toward goals.