About Anne
Anne Karsian helps people facing loss, big life changes, and the slow erosion of joy. She is Anne Karsian, LCSW, CSW, and she brings seven years of clinical social work experience to conversations about grief, stress, and shifting life roles. Her manner is calm and curious, and she starts by listening to each person's story in their own words.
Her background includes work in acute care hospitals and palliative and hospice settings.
How Anne works
That work gave her experience supporting people at pivotal moments, including when illness, caregiving needs, or difficult decisions arise. She has a particular interest in older adults navigating advanced care planning and downsizing, and she understands how independence and dependence can change quickly. Anne uses straightforward conversation to help people feel seen and understood.
She pays attention to what motivates someone and to the small, practical steps that can restore interest and pleasure. She also recognizes how grief and transition can cause numbness, overwhelm, or unexpected emotions, and she helps people name and move through those feelings. Sessions focus on the person's priorities and unfold at whatever pace feels manageable.
Anne combines listening with practical tools to address stress, anxiety, self-esteem, relationship and parenting concerns, and work- or career-related questions. Her goal is to help people find clearer direction and more moments of meaning in daily life. Anne practices in Colorado as a Licensed Clinical Social Worker, and she offers video, phone, chat, and text options for remote sessions.
She welcomes conversations from people who want help sorting grief, caregiving strain, chronic illness challenges, or other major life transitions.
Anne lists 7 ways of working on the entry:
What Anne works with
The areas below are the ones Anne selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Family conflicts
- Grief
- Self esteem
Also listed
- Aging and geriatric issues
- Anger management
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Emptiness
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Parenting issues
- Prejudice and discrimination
- Relationship issues
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
Training and background
| Registers | LCSW, CSW |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Colorado |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Anne blends evidence-based approaches online
Client-Centered Therapy focuses on listening and building understanding. The therapist offers a nonjudgmental space where the client leads the story and pace, which can help with grief, life transitions, and emotional overwhelm.Cognitive Behavioral Therapy, or CBT, looks at the connection between thoughts, feelings, and actions. It helps identify unhelpful thinking patterns and develops practical steps to reduce anxiety, improve mood, and manage stress.
Emotionally-Focused Therapy, or EFT, attends to patterns in close relationships and helps people notice and change the ways they respond to emotional triggers. It can be useful for intimacy issues, communication problems, and repairing connection.
Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort level. Sessions can shift as progress is made or as new concerns arise.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy fit into everyday life. Video is useful for face-to-face conversation, phone works well when bandwidth is limited, live chat suits brief check-ins, and messaging supports ongoing reflection between sessions. These options give flexibility for scheduling, shorter check-ins, and different ways to communicate as needs change.
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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