About Karen
Karen Monsivais is a bilingual counselor who speaks English and Spanish. She is a Licensed Professional Counselor, LPC, practicing in Texas with eight years of experience. Karen helps people facing stress, anxiety, trauma and abuse, parenting challenges, low self-esteem, and depression.
She meets each person with respect and compassion. Sessions are shaped around what the client needs, not a one-size-fits-all plan. Karen adapts conversation and tools to fit each person's situation and background.
How Karen works
Her work includes attention to attachment and abandonment concerns, adoption and foster care issues, blended family strains, and caregiver stress. She also addresses codependency, communication problems, control issues, and feelings of emptiness or shame. Mood concerns such as Disruptive Mood Dysregulation Disorder and impulsivity are part of her focus areas as well.
Karen uses practical methods that people can apply between sessions. She draws from client-centered approaches, cognitive behavioral techniques, trauma-focused strategies, mindfulness practices, and EMDR to help process difficult memories. The aim is to build coping skills and to restore a sense of stability and confidence.
Sessions are offered through phone, video, live chat, or text-based messaging. People who prefer Spanish-language support can meet in Spanish. To begin, users follow the platform steps to match and schedule with her.
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.
- Stress, Anxiety
- Trauma and abuse
- Parenting issues
Also listed
- Abandonment
- Adoption and foster care
- Attachment issues
- Blended family issues
- Caregiver issues and stress
- Codependency
- Communication problems
- Control issues
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Domestic violence
- Emptiness
- Family of origin issues
- Family problems
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Mood disorders
- Post-traumatic stress
- Self esteem
- Women's issues
- Workplace issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 8 |
| Languages | English, Spanish |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches for online healing and trauma work
Karen uses client-centered therapy to create a respectful, collaborative space where the client's goals guide each session. This approach focuses on listening and adapting the conversation to what matters most to the person.She also integrates cognitive behavioral therapy, which looks at patterns of thought and behavior and teaches practical skills to reduce anxiety, manage mood, and change unhelpful reactions. For people who are processing traumatic memories, trauma-focused therapy and EMDR are used to help reduce distress and build coping strategies. EMDR uses guided recall and bilateral stimulation to work with distressing memories in a paced way.
Finding the right approach is part of the work together. The therapist will help figure out which methods fit a client's needs, goals, and comfort level, and will adjust the plan as therapy progresses. This is a collaborative process that changes as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation when bandwidth permits. Phone sessions can work when a camera is not preferred or bandwidth is limited. Live chat and text messaging provide short check-ins and ongoing support between sessions. These options make scheduling easier and help therapy fit into busy lives.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
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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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