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- ACT and CBT
- DBT skills
- Attachment work
About Karishma
Licensed Professional Counselor (LPC) in Texas with 5 years of experience, Karishma Sarfani helps people manage stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. She works from the idea that each person knows their own story and already has strengths to draw on. Karishma frames therapy as a collaborative effort and supports clients who want practical steps and steady accountability.
Her approach uses methods like Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). She focuses on specific patterns that get in the way, such as compulsive behaviors, avoidance, dissociation, and problems tied to attachment and abandonment. Sessions cover coping skills, thought work, behavioral experiments, and building motivation.
Karishma has worked with people experiencing relapse, binge behaviors, process addictions such as pornography or gambling, substance use, obsessive-compulsive symptoms, and complex trauma. She helps with practical goals like reducing urges to vape or drink, interrupting ritualized behaviors, and improving emotional regulation. Her work addresses consequences of sexual abuse, grief, and post-traumatic stress when present.
The therapist emphasizes written, reflective communication as a way to track progress and plan next steps. She encourages regular check-ins and uses messages as a place to record strategies clients can return to. Responses are typically provided within a short timeframe so momentum is maintained.
Sessions are conducted in English and are based in Texas. Prospective clients should confirm current session options before scheduling. To begin, clients complete a short matching questionnaire and schedule a first session.
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How her therapeutic approaches work in messaging-based care
Karishma uses Acceptance and Commitment Therapy (ACT) to help people notice unhelpful thoughts and commit to actions that reflect their values. ACT emphasizes practical, values-based steps and teaching ways to tolerate difficult feelings while moving toward goals.She also uses Attachment-Based Therapy to identify patterns that come from early relationships. This work focuses on how attachment styles can affect trust, closeness, and emotional responding, and it helps people try new ways of relating to themselves and others.
Finding the best approach is collaborative. The therapist will work with each person to see which methods fit their needs, goals, and preferences. That can mean mixing ACT, attachment work, and skills-based techniques from CBT or DBT to create a plan that makes sense for day-to-day life.
Messaging-based therapy centers on written exchanges that build a record of progress and strategies. Clients send thoughts, questions, and updates when convenient and receive thoughtful responses within a stated timeframe. This format can make it easier to reflect on material between messages, fit therapy into a busy schedule, and maintain continuity without arranging live sessions. Confirm the current session options before booking to understand how messages and any other supported formats will be used.
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Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional focus areas include OCD, process addictions, dissociation, and attachment issues.
What therapeutic approaches does she use?
She uses Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT). Treatment draws on these methods to target behaviors, thoughts, and relationship patterns.
How much experience does she have?
She has five years of professional experience as a Licensed Professional Counselor. That background includes work with addiction relapse, complex trauma, and obsessive-compulsive presentations.
Where is she licensed and practicing?
She holds LPC credentials and is licensed in Texas. Sessions are listed as originating from Texas.
Which languages are supported?
Sessions are offered in English. International clients are not currently accepted.
What formats are used for sessions?
The biography describes therapy conducted through written messaging as the primary communication method. Confirm the current session options before booking.
How does payment and cost work?
Costs vary by location and sessions use a subscription model that can be canceled at any time. Specific pricing depends on the chosen subscription tier and region.
How do I start a first session?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session. That process connects you to next steps for messaging-based therapy.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.