Karen Schwartz Triana, MD, LCPC, LMHC

Karen Schwartz Triana is a mental health professional practicing in Florida. She holds an MD, is an LCPC, and is licensed as an LMHC in New York, and she brings 14 years of clinical experience. She helps people who are dealing with anxiety, depression, stress, trauma, relationship struggles, grief, and a wide range of life challenges.

Karen uses clear, practical methods in sessions. She draws on cognitive behavioral therapy (CBT), client-centered work, motivational interviewing, and solution-focused ideas. Sessions are tailored to each person's goals and paced one step at a time.

Her style is collaborative and straightforward. She helps clients set small progress goals and checks in each session about what worked. Time is reserved at the end of every meeting for clients to reflect on their experience and notice changes.

Karen has a background that began in career counseling and moved into mental health work. That path shaped her focus on career concerns, workplace issues, and coaching alongside more traditional clinical problems like mood disorders and trauma-related difficulties.

She uses a mix of techniques to match the situation, from cognitive approaches that address thought patterns to narrative ideas that help people rewrite their stories. Motivational interviewing helps when someone is unsure about change, and solution-focused tools help when a person wants concrete steps forward.

Many people come to address parenting stress, substance concerns, ADHD-related struggles, or relationship and intimacy issues. Karen aims to work together so clients leave each session with practical next steps and clearer perspective.

How Karen Uses Practical Therapies Online

Karen blends cognitive behavioral therapy and client-centered work to help people make concrete changes and feel understood. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety and mood symptoms. Client-centered therapy emphasizes empathetic listening and the client's own pace, helping people gain clarity and confidence.

She also uses motivational interviewing when someone feels stuck or unsure about change. That approach helps people weigh options and find personal reasons to move forward. Karen discusses options with each person and chooses approaches together, tailoring techniques to the person's goals and preferences in a collaborative way.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets a person and therapist meet visually, phone can be easier when bandwidth is limited, live chat works for short check-ins, and messaging supports ongoing reflection between sessions. These options make therapy easier to fit around work, parenting, or other daily demands, while keeping the focus on practical steps and steady progress.