Karishma Sarfani

Karishma Sarfani, LPC, offers a down-to-earth approach that centers on the client’s goals and strengths. She focuses on helping people manage stress, anxiety, depression, and addictive behaviors. Her style emphasizes practical steps and steady support as clients work toward clearer motivation and stronger self-esteem.

With five years of professional experience, Karishma addresses a wide range of concerns. She helps people who struggle with addiction-related behaviors such as substance use, process addictions, and relapse. She also supports those dealing with trauma, post-traumatic stress, obsessive-compulsive symptoms, and intense phobias.

Karishma uses evidence-informed methods like Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. She blends these approaches to match each person’s needs and to target unhelpful thoughts, emotional overwhelm, and behaviors that get in the way of daily life.

Attachment-based and client-centered ideas shape how she works in sessions. She focuses on building a trusting working relationship and helping people notice patterns that come from early connections. From there she helps clients try new ways of relating and coping.

She practices in Texas and holds the Licensed Professional Counselor credential, LPC. Sessions and the pace of work are shaped by the individual’s goals. To begin, clients use the site’s Start Therapy flow and complete a brief matching questionnaire before scheduling.

How therapeutic approaches guide online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck in them and choose actions that match their values. It can be useful for anxiety, low motivation, and repeated unhelpful behaviors. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing thoughts and behaviors that keep problems going, which often helps with anxiety, depression, and obsessive-compulsive patterns. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can reduce overwhelming reactions and impulsive behaviors.

Choosing the right approach is a collaborative process. The therapist will work with each person to match techniques to their goals and daily life. That might mean trying different strategies and adjusting based on what helps most over time.

Confirm the available session formats before booking, since specific formats were not listed in the biography. In general, online therapy can make it easier to fit sessions into a busy schedule, allow frequent short check-ins, and let people reflect in writing between meetings. These practical benefits can support steady progress while adapting work to everyday routines.