Karishma Sarfani, LPC

Karishma Sarfani is a Licensed Professional Counselor (LPC) based in Texas who uses practical, skills-based approaches to help people manage stress, anxiety, addictions, trauma, low self-esteem, and depression. She sees therapy as a collaborative effort and encourages clients to draw on their own strengths. Taking the first step can feel scary, and she aims to offer steady support along the way.

With five years of clinical experience, Karishma focuses on concerns such as relapse and process addictions, obsessive-compulsive symptoms, dissociation, and attachment-related struggles. She also helps people coping with grief, complex post-traumatic stress, and the fallout of divorce or separation. Her work attends to both the immediate how-to skills and the deeper patterns that keep problems repeating.

Her approach mixes Cognitive Behavioral Therapy with Acceptance and Commitment Therapy and Attachment-Based work to address thoughts, behaviors, and relational patterns. She also draws on client-centered and Dialectical Behavior Therapy strategies to build coping skills, emotional regulation, and self-compassion. Sessions aim to be practical and concrete so clients can use what they learn between meetings.

Karishma supports people who want to reduce substance or process-driven urges, manage intense fears or rituals, or find clearer direction and purpose. She values steady progress over quick fixes and helps clients set realistic steps toward their goals.

Sessions are offered in English and delivered online through messaging, phone, live chat, and video formats. People looking to begin can expect clear options for scheduling and a focus on workable strategies tailored to their lives.

Practical online approaches for skills and healing

Karishma uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors, which can reduce anxiety, compulsions, and low mood. Acceptance and Commitment Therapy is also part of her work, teaching acceptance of difficult feelings while clarifying personal values and committed action. Attachment-Based Therapy is used to look at relationship patterns and how early bonds shape current reactions, helping people build more secure ways of relating.

Choosing the right approach is a collaborative process. She discusses each method and tailors care to the person's goals, struggles, and preferences. Clients help set the pace and decide which strategies fit their life and priorities.

Online therapy is offered via video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video works well for face-to-face conversation and skill practice, while phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and messaging let people write reflections anytime and revisit them later, which is useful for tracking progress and staying engaged between meetings.