Karishma Sarfani

LPC

Texas

Compassionate counselor focused on motivation and change

Continue with Karishma

At a glance

Credentials

LPC

License

LPC, Texas / 86731

NPI

1407531882

Experience

5 years

Languages

English

Location

Texas

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

1. • Motivational methods
   • Addictions support
   • Trauma-informed care

   About Karishma

   Karishma Sarfani is a Licensed Professional Counselor (LPC) based in Texas. She uses a collaborative, strength-focused approach to help people move past anxiety, stress, depression, and addictions. She emphasizes clients' own knowledge of their lives and supports them as they take steps toward change.

   She helps people address trauma, abuse, and post-traumatic stress with attention to safety and paced progress. Work often focuses on compulsive behaviors and process addictions such as porn or gambling, along with substance use and relapse concerns. Karishma also supports people dealing with codependency, attachment issues, feelings of shame or guilt, and problems that affect self-esteem.

   Her approach combines motivational methods with cognitive behavioral techniques to build motivation and practical skills. She also draws on Acceptance and Commitment Therapy and attachment-based ideas to help people clarify values and repair relational patterns. Sessions center on clear goals, manageable steps, and checking what works for each person.

   Across five years of practice she has worked with people facing intense fears, obsessive-compulsive behaviors, dissociation, and complicated grief. She tends to use careful, paced strategies when trauma or past abuse is part of the story. Treatment plans are adjusted over time based on progress and client feedback.

   Karishma offers therapy in English and holds a Texas LPC credential. If someone is considering beginning work, she encourages a first step that focuses on fit, goals, and a realistic plan for change.

2. How her approaches guide online therapy

   Karishma uses Motivational Interviewing to help people increase their readiness for change by exploring ambivalence and drawing out their own reasons for moving forward. This approach is often useful for addictions, relapse prevention, and making difficult behavior changes.
   
   She also draws on Acceptance and Commitment Therapy, which focuses on clarifying personal values and taking committed action even when uncomfortable feelings are present. ACT can help with anxiety, depression, and persistent avoidance. Attachment-Based Therapy is used to look at relational patterns and how early connections affect current relationships and trust; this can be helpful when attachment issues or relationship-driven struggles contribute to distress.
   
   Choosing the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs, goals, and preferences. Plans are adjusted over time based on what the client finds helpful.
   
   If you are interested in online therapy, confirm the current session options before booking since formats are not listed here. Online work can make it easier to fit therapy into a busy life, allow written reflections to be revisited, and reduce time spent traveling. Discuss practical needs and scheduling when you first reach out so sessions align with daily routines and goals.

4. Areas of expertise

   Primary focus

   Stress, AnxietyAddictionsTrauma and abuseSelf esteemDepression

   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

   Listed in

   Texas

   Languages

   English

5. Frequently asked questions

   What concerns does this therapist help with?

   She works with stress, anxiety, depression, and a range of addiction issues, including process and substance addictions. Additional focus areas include trauma, compulsive behaviors, attachment concerns, and low self-esteem.

   What is her therapeutic style like?

   Her style is collaborative and strengths-based, using motivational techniques alongside cognitive and acceptance-focused methods. The work emphasizes goals, small steps, and practical coping skills.

   How much clinical experience does she have?

   She has five years of professional experience working with people facing anxiety, OCD, trauma, addictions, and related concerns.

   What credentials and region are listed?

   She holds a Licensed Professional Counselor credential as a TX LPC and practices in Texas.

   Which languages are offered for sessions?

   Sessions are offered in English.

   Can international clients work with her?

   International clients are not currently accepted.

   How are fees handled?

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

   How do I begin therapy with this counselor?

   Start by selecting the Start Therapy button and completing a short matching questionnaire. After that you can schedule according to the therapist's availability.

6. Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers

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