About Karen
Karen Delillo is a licensed clinical social worker with 20 years of experience helping people facing stress, anxiety, grief, and depression. She speaks plain, direct language and focuses on creating a calm space where clients can speak honestly about hard things. She helps people who are coping with major life changes and loss.
She also supports those dealing with relationship strain, intimacy concerns, parenting challenges, and family-related stress. Karen has experience addressing trauma and abuse, anger, self-esteem struggles, eating concerns, ADHD, and compassion fatigue.
How Karen works
Her work includes hospice and end-of-life counseling, guiding people through the emotions that surround serious illness and bereavement. Sessions aim to make complex feelings easier to name and understand. Practical coping tools and steady emotional support are part of her approach.
Karen centers respect and nonjudgment in sessions. She invites clients to share at their own pace and focuses on small, manageable steps toward change. The tone in therapy is warm but straightforward, with attention to what matters most in everyday life.
She is based in New York and uses straightforward methods that fit each person she meets. The first meeting is used to talk about goals and to decide how to move forward together.
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.
Also listed
- ADHD
- Anger management
- Compassion fatigue
- Coping with life changes
- Eating disorders
- Family conflicts
- Hospice and end-of-life counseling
- Intimacy-related issues
- Parenting issues
- Relationship issues
- Self esteem
- Trauma and abuse
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapeutic approaches translate to online care
Many evidence-based techniques focus on naming feelings and building coping skills. One common approach teaches practical skills for managing anxiety and stress, such as breathing, grounding, and breaking problems into smaller steps to reduce overwhelm. These methods help when worries feel constant or when stress makes daily tasks harder.Another useful approach helps people process grief and end-of-life concerns by giving space to tell their story and work through complicated emotions. This style supports meaning-making and practical planning during bereavement or hospice situations. It can reduce the sense of being alone with difficult decisions and feelings.
Finding the right approach is a collaborative process. The therapist will talk with the client about goals, try methods that fit those goals, and adjust over time. Clients are invited to share what works and what does not so the plan can change as needed.
Online therapy offers flexible ways to work together. Video calls approximate face-to-face conversation and allow visual cues. Phone sessions are useful when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let clients share thoughts between sessions or use therapy when a quick message fits better into a busy day.
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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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