Karl Nitz, LSCSW, LCSW

Karl Nitz is a licensed clinical social worker with 23 years of experience. He uses practical, skills-based approaches to help people manage stress, anxiety, anger, low self-esteem, depression, and ADHD. Karl explains techniques in plain language and focuses on clear communication so people can use tools right away.

Karl emphasizes a strong working relationship. He believes progress starts when the therapist and client connect and agree on goals. Sessions focus on breaking down problems into manageable steps and practicing new skills between meetings.

He blends Cognitive Behavioral Therapy with solution-focused ideas and elements of Internal Family Systems. That mix helps clients address thought patterns, try concrete changes, and understand internal parts that influence behavior. Karl shares strategies that fit each person’s life and routine.

Across his career he has worked with many different concerns, including obsessions, compulsions and OCD, panic and phobias, social anxiety, workplace stress, codependency, and fatherhood questions. He also supports people facing aging and geriatric issues, life purpose questions, and young adult transitions.

Sessions are available in Texas and offered in English. Karl offers video calls, phone sessions, live chat, and text-based messaging so people can choose what works best for them. He encourages a pace that feels comfortable while focusing on practical steps forward.

How Karl's Approaches Work Online

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and testing them with real-life experiments. It helps with anxiety, depression, panic, phobias, and managing ADHD-related challenges by teaching practical skills and behavioral changes.

Solution-Focused Therapy zeroes in on small, realistic steps toward a client’s goals. Sessions look for what is already working and build on those strengths to create quick, manageable changes in everyday life.

Karl uses these approaches together and will work with each person to find the best fit. He discusses goals, preferences, and what has or hasn't helped before. That collaborative process helps decide which techniques to emphasize and how fast to progress.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is good when visual cues matter and a fuller conversation is needed. Phone sessions can be easier when bandwidth is limited or for short check-ins. Live chat and text messaging offer quick, ongoing support and are useful for brief updates or practicing new skills between sessions. These options make it easier to fit therapy into work, school, or family schedules and to keep momentum while working toward goals.