About Karen
Karen Camese is a licensed marriage and family therapist in California with 20 years of clinical experience. She helps people who are facing addiction, trauma, grief, parenting strain, or major life changes. Her approach is calm and direct, aimed at practical steps that feel doable day to day.
Karen focuses on improving relationships and intimacy issues by helping people notice patterns and try new ways of relating. She also supports those dealing with sleeping problems, compassion fatigue, career stress, and low self-esteem.
How Karen works
Sessions often include conversations about family history and how it shapes current choices. Her work addresses difficult situations such as domestic violence recovery, substance use concerns, and caregiver stress. She pays attention to aging and end-of-life matters, including hospice and bereavement challenges.
Karen is particularly interested in helping women reconnect with self-love and life purpose. Therapy draws from attachment-based and client-centered ideas, along with cognitive and skills-based methods when needed. She meets people where they are and helps them build steady coping tools over time.
The tone in sessions is supportive, practical, and focused on small, achievable change. Karen conducts sessions in English and practices throughout California. She combines experience with straightforward guidance so people can manage day-to-day struggles and move toward clearer goals.
Karen lists 8 ways of working on the entry:
What Karen works with
The areas below are the ones Karen selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Family conflicts
- Trauma and abuse
Also listed
- Aging and geriatric issues
- Career difficulties
- Caregiver issues and stress
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Domestic violence
- Drug and alcohol addiction
- Family of origin issues
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Women's issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Attachment-Based Therapy looks at how early relationships shape current patterns. Karen uses it to help people notice attachment styles and try new ways of connecting that reduce anxiety and conflict. Client-Centered Therapy focuses on the person's experience and strengths. It gives space for people to be heard and to build self-trust while working toward their goals. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and habits and replaces them with practical strategies for coping and sleeping better.Finding the right approach is part of the work together. Karen talks with each person about their priorities, goals, and what feels most useful. She adjusts methods as progress is made so therapy stays relevant and practical for the client's life.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different needs. Video calls allow face-to-face conversation and exercises, phone sessions can be easier when bandwidth is limited, live chat supports quick check-ins, and messaging is useful for brief updates or ongoing reflection. These options make scheduling more flexible and help therapy fit into busy days.
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Common questions
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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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