Karen Monsivais, LPC

Karen Monsivais is a bilingual Licensed Professional Counselor (LPC) in Texas who helps people cope with stress, anxiety, trauma, parenting challenges, low self-esteem, and depression. She works in both English and Spanish and focuses on clear, respectful conversation. Karen aims to make the first step feel manageable for people looking for change.

She prefers a straightforward, person-focused style. Sessions are shaped around what each person needs. Karen listens for practical patterns and helps clients try different ways to think and act. She uses Cognitive Behavioral Therapy alongside client-centered and trauma-focused tools to guide work on symptoms and daily struggles.

Her background includes eight years of professional counseling experience in Texas. That experience includes supporting people with issues like abandonment, attachment struggles, blended family complexities, and caregiver stress. She also addresses concerns related to codependency, communication problems, control issues, and feelings of emptiness.

Karen works with people dealing with family of origin wounds, domestic violence impacts, guilt and shame, impulsivity, and the effects of adoption or foster care histories. She adapts sessions to each person’s pace and goals. Practical strategies and mindfulness techniques are often part of the work.

In conversations about parenting, she focuses on skills that parents can use right away. For trauma-related work she may integrate EMDR elements and trauma-focused methods where appropriate. Her approach is collaborative and aims to build confidence and clearer choices over time.

How Karen's approaches translate to online sessions

Karen uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try small behavioral changes. CBT is often useful for anxiety, stress, depression, and day-to-day habits that get in the way of goals. Client-Centered Therapy is also part of her work and focuses on listening, empathy, and meeting each person where they are; it helps people feel heard and build motivation to change.

She also brings trauma-focused methods into online work when needed, including EMDR-informed techniques to address distressing memories. Those tools aim to reduce the intensity of traumatic reactions and help people regain a sense of control over how memories affect daily life. Choosing which approach to use is a collaborative process; the therapist and client review needs, goals, and preferences and adjust the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for deeper, interactive sessions where visual cues matter. Phone calls can be easier when bandwidth is limited or for brief check-ins. Live chat and text messaging offer flexibility for short updates, homework check-ins, or when typing feels more comfortable. These options make it easier to fit therapy into busy schedules and different routines.