About Karen
Karen Gano helps people who are facing major life changes and emotional challenges. She offers steady support for concerns like anxiety, depression, grief, relationship and intimacy issues, and coping with caregiving or illness. Karen draws on a long clinical background to help clients set goals and find practical ways forward.
Karen is a medical doctor and a licensed clinical social worker with more than 33 years of clinical experience. She blends client-centered and mindfulness-based approaches with motivational interviewing and solution-focused techniques.
How Karen works
Those tools aim to build on strengths and create realistic steps people can try between sessions. Her practice emphasizes empowerment and compassionate care. Sessions focus on practical skills - coping strategies, communication practices, and steps to improve self-esteem and daily functioning.
She also supports people dealing with trauma and abuse through trauma-focused methods that respect pacing and safety. Karen has worked in medical settings including emergency medicine, oncology, palliative care, and critical care. That background informs how she supports clients facing illness, end-of-life concerns, caregiving stress, and related life transitions.
She also helps people confronting addiction, career shifts, and midlife questions. Work with Karen typically combines goal-setting and gentle self-reflection. She helps people notice what already works, try new coping tools, and measure small changes.
The approach is practical, steady, and tuned to each person's situation.
Karen lists 5 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.
- Relationship issues
- Trauma and abuse
- Grief
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Family of origin issues
- Fertility issues
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Self esteem
- Stress, Anxiety
- Women's issues
Training and background
| Registers | MD, LCSW-C, LCSW, CSW |
|---|---|
| Years in practice | 33 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Mexico |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online care
Client-centered therapy focuses on listening and helping people find their own solutions. It emphasizes respect, empathy, and building on a person's strengths to work toward goals. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and manage stress in daily life. Motivational interviewing is a conversational style that helps people clarify their own reasons for change and build motivation a step at a time.Choosing the right approach is part of the work together. The therapist will discuss goals, preferences, and what has or hasn't worked in the past, then try methods that fit the client's needs. That collaborative process can be adjusted as progress is made or new challenges arise.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation for in-depth work. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text-based messaging let people send updates, try brief coping prompts, or keep momentum between longer sessions. These options make it simpler to fit therapy around work, caregiving, or medical appointments while using the same clinical approaches available in person.
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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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