About Karen
Karen Cino is a licensed clinical social worker who helps people facing addiction, anxiety, depression, and relationship struggles. She speaks plainly and focuses on creating a calm space where someone can speak openly about their feelings and goals. Karen works to make the first steps toward change feel more manageable and real.
She uses clear, practical methods that match each person's needs. Sessions focus on what is happening now and on learning skills to manage stress, mood, or worry.
How Karen works
Conversations also explore relationship patterns, self-esteem, work or career stress, and challenges tied to intimacy and loss. With seven years of clinical experience, Karen brings steady support for people coping with trauma, grief, bipolar mood challenges, ADHD, and compassion fatigue.
She also addresses struggles tied to adoption and foster care, aging and geriatric concerns, blended family dynamics, cancer, and co-occurring substance or mental health issues. Her approach draws on Client-Centered Therapy to prioritize the person's voice, Cognitive Behavioral Therapy to spot and change unhelpful thinking, and Emotionally-Focused Therapy to address emotional patterns in relationships.
These methods are adapted to each session rather than applied in the same way to everyone. Karen offers straightforward guidance and practical tools. She aims to empower people to set achievable steps toward better coping, clearer communication, and stronger self-worth.
The work is collaborative and paced to the client's comfort.
Karen lists 3 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
- Relationship issues
- Self esteem
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Grief
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Multicultural concerns
- Paranoia
- Personality disorders
- Postpartum depression
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual dysfunction
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online care
Client-Centered Therapy focuses on the person's experience and priorities. The therapist listens closely, reflects what is said, and helps the person steer the work based on their own goals. This approach helps when someone needs a supportive space to sort feelings and decide on changes.Cognitive Behavioral Therapy, or CBT, looks at unhelpful thoughts and the behaviors they create. Sessions include practical exercises and tools to change thinking patterns, manage anxiety or depression, and build coping skills that work in everyday life.
Emotionally-Focused Therapy, or EFT, concentrates on emotional patterns that show up in relationships. It helps people name feelings, understand how those feelings affect connection, and practice new ways of relating when intimacy or communication is strained.
Finding the right approach is part of the work. The therapist collaborates with each person to choose and adapt methods based on their needs, goals, and preferences. That means techniques may change over time as progress is made.
Online therapy offers flexible ways to meet: video calls for face-to-face conversation, phone sessions for lower bandwidth or hands-free check-ins, live chat for shorter exchanges, and text-based messaging for ongoing support between sessions. These options make it easier to fit therapy into a busy schedule and to keep continuity when life gets hectic.
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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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