Karishma Samaroo, LMHC

Karishma Samaroo is a licensed mental health counselor in New York who helps people cope with stress, anxiety, trauma, grief, low self-esteem, and depression. She writes short, practical steps people can try between sessions. Her tone is direct and focused on clear problem-solving. Karishma draws on nine years of clinical experience working with adults facing addiction and co-occurring mental health concerns. She listens for patterns that keep problems repeating, such as avoidance or harsh self-talk. From there she and the client set small, manageable goals to change those patterns. Her work often starts with understanding what keeps a problem going. That may mean noticing negative thoughts, old relationship patterns, or unhelpful habits. She uses straightforward tools to shift those patterns and to build new coping skills. Karishma combines practical behavior-oriented techniques with conversations that look at past experiences. That mix can help people understand why they respond a certain way and then practice different responses. Sessions tend to focus on real-world changes people can use right away. She offers video calls, phone sessions, live chat, and text-based messaging so people can choose what fits their day. Sessions use a subscription model that can be canceled at any time. People interested in starting are asked to complete a short matching questionnaire and then schedule according to therapist availability.

How these approaches translate to online care

Karishma commonly uses Cognitive Behavioral Therapy and Motivational Interviewing in her online work. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and behaviors and practicing small changes that lead to better outcomes; it is often used for anxiety, depression, and stress. Motivational Interviewing helps people find their own reasons to change and build commitment, which is useful for addiction, habit change, and getting through hard transitions. Choosing the right approach is part of the work. Karishma discusses goals and preferences with each person and then tailors methods together. That collaborative decision helps ensure sessions match what the person wants to work on and how they prefer to work. Online therapy offers practical benefits for busy lives. Video calls let people have a session much like an in-person visit. Phone sessions can be easier when bandwidth is tight or when someone prefers not to be on camera. Live chat and text-based messaging are useful for brief check-ins, quick skill practice, or fitting therapy into a lunch break. These options make it easier to keep progress steady while handling real-world scheduling needs.