Karishma Sarfani

Compassionate CBT-informed care for complex challenges

LPC Texas

Experience: 5 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Karishma

Karishma Sarfani is an LPC who draws on cognitive behavioral therapy as a central framework while integrating other evidence-informed methods to help clients navigate stress, anxiety, addictions, trauma, and low self-esteem.

Background and approach

She frames therapy as a collaborative process that honors each person as the expert of their own story, and she emphasizes building motivation, confidence, and practical skills to manage difficult thoughts and behaviors.

With five years of clinical experience in Texas, she has worked with people facing complex patterns such as chronic relapse, process addictions, dissociation, attachment disruptions, obsessive-compulsive symptoms, and post-traumatic stress.

Her approach blends actionable strategies for immediate symptom relief with attention to underlying relational and emotional patterns, drawing on acceptance and commitment principles, attachment-focused work, and client-centered support when appropriate. Karishma encourages courageous first steps toward change and offers steady support as clients develop sustainable coping skills.

She aims to create a therapy experience that balances compassion with structure so clients can make measurable progress toward their goals.

Applying evidence-based approaches to online therapy

Karishma uses Cognitive Behavioral Therapy (CBT) to help clients identify and change unhelpful thinking and behavior patterns; this approach is commonly used for anxiety, depression, and obsessive-compulsive struggles. She also incorporates Acceptance and Commitment Therapy (ACT), which focuses on clarifying values and building psychological flexibility through mindful acceptance and committed action. Attachment-Based Therapy appears in her toolkit to explore how early relational patterns influence current connections and emotional responses, which can be useful for people wrestling with abandonment, codependency, or attachment difficulties.

Choosing the right approach is part of the therapeutic process, and she collaborates with each client to determine which methods fit their goals, needs, and preferences. Treatment plans are adjusted over time based on progress and client feedback so therapy remains personalized and practical.

Online therapy with this clinician can take place via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for varied schedules and communication styles. These options make it easier to maintain continuity of care and access support from home or other settings, helping clients integrate therapeutic work into everyday life.

Frequently asked questions

What kinds of concerns does she address?

She works with stress, anxiety, addictions, trauma and abuse, self esteem, and depression, and also addresses related issues such as attachment difficulties, OCD and process addictions.

What therapeutic styles does she use in sessions?

She uses a mix of approaches including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy (DBT) to tailor care to individual needs.

How much clinical experience does the therapist have?

She has five years of professional experience providing therapeutic support in Texas.

What credentials and location are on file?

The clinician holds the LPC credential with license TX LPC 86731 and is based in Texas.

Which languages are available and can international clients join?

Services are offered in English, and she is not accepting international clients at this time.

What session formats are offered for online work?

Available formats include video calls, phone sessions, live chat, and text-based messaging to match different preferences.

How is cost structured for sessions?

Cost varies with location and therapist availability, and sessions are provided through a subscription that can be canceled at any time.

What steps should someone take to begin therapy?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuse Self esteem Depression

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityCodependencyDissociationDivorce and separationDrug and alcohol addictionGuilt and shameLife purposeNarcissismObsessions, compulsions, and OCDPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSocial anxiety and phobiaSomatization

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Motivational InterviewingNarrative TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

5+ years

Licensed

Texas

Languages

English